Lyne C Liboiron-Bouie, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61489910 Issued in WA

Practice address

24080 SE Kent Kangley Rd
Maple Valley, WA 98038-6851

Phone

(253) 372-7680

NPI assigned

Oct 6, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lyne.liboiron-bouie@290329509036036.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Rejuvenation Medical PLLC

  • Family Medicine Physician
  • Shoreline, WA
  • NPI 1447712559
  Medicare reassignment NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba Kent MultiCare Clinic

  • Family Medicine Physician
  • Kent, WA
  • NPI 1811949928
  NPD
• Multicare Health System

  dba Auburn MultiCare Clinic

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1013969195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1194506105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 16TH ST E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721687",
            "telephone_number": "512-300-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24080 SE KENT KANGLEY RD",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386851",
            "telephone_number": "253-372-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBOIRON-BOUIE",
        "first_name": "LYNE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61489910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Lee
• Leeanna Bodywork LLC
• Oricel Lendeborg
• Penny M Leong, DMD
• Tao Liang
• Jennifer Elizabeth Lindsay, LMT
• Isabelle Jean Lingle, N/A
• Randi Maire Linn, LMP
• Johnathan Jose Liporada
• Samantha Kay Lippert

• Family Nurse Practitioner in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.