Individual provider Active NPI

Taryn Felia Boyington, L.M.P.

  • Community Health Worker
  • Puyallup, WA
National Provider Identifier
1659652832
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
MA 604239462 Issued in WA
Practice address
702 South Hill Park Dr Ste 101
Puyallup, WA 98373-1426
Phone
(253) 604-4953
Fax
(253) 604-4956
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MA 604239462 WA Primary

Addresses

Primary practice location

702 South Hill Park Dr Ste 101
Puyallup, WA 98373-1426

Mailing address

702 South Hill Park Dr Ste 101
Puyallup, WA 98373-1426
Phone (253) 604-4953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA 604239462WAMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315008000000",
    "number": "1659652832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SOUTH HILL PARK DR STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731426",
            "telephone_number": "253-604-4953",
            "fax_number": "253-604-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SOUTH HILL PARK DR STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731426",
            "telephone_number": "253-604-4953",
            "fax_number": "253-604-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYINGTON",
        "first_name": "TARYN",
        "middle_name": "FELIA",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MA 604239462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.