Luc Floyd Gerard Boers-Gein, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA60639163 Issued in WA

Practice address

22315 50TH Avenue CT E
Spanaway, WA 98387-6053

Phone

(253) 380-5049

Fax

(253) 380-5049

NPI assigned

Jul 14, 2016

Sex

Male

Sole proprietor

No

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, last updated by the provider on Jul 14, 2016.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1760835722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22315 50TH AVENUE CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983876053",
            "telephone_number": "253-380-5049",
            "fax_number": "253-380-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22315 50TH AVENUE CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983876053",
            "telephone_number": "253-380-5049",
            "fax_number": "253-380-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERS-GEIN",
        "first_name": "LUC",
        "middle_name": "FLOYD GERARD",
        "name_prefix": "Mr.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NA60639163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Bishop, BCBA
• Aidan Black, MA
• Tamara Renae Blackshear, LMP
• Alethea Deshone Blossomgame
• Maurysa Roseanne Blubaugh, MA
• Jackelina Bonds
• Sandra Boyer
• Ivanna Boyko, COTA
• Julia Alayne Bradford, PT, DPT
• Krisula Maria Brady, RN-BSN

• All providers in Spanaway, WA
• Nurse's Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.