Carol A Boyer, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00007773 Issued in WA

Practice address

219 E Main St
219 E Main St
Mossyrock, WA 98564

Phone

(360) 983-8770

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carol A Boyer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497842207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "address_2": "BOX 733",
            "city": "MOSSYROCK",
            "state": "WA",
            "postal_code": "985640733",
            "telephone_number": "360-983-8770",
            "fax_number": "360-983-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "address_2": "219 E MAIN ST",
            "city": "MOSSYROCK",
            "state": "WA",
            "postal_code": "98564",
            "telephone_number": "360-983-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00007773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP",
            "identifier": "MA00007773",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BOYER",
            "middle_name": "A",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Mossyrock, WA
• Providers in Mossyrock, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.