Active NPI
Kindra Theresa Scanlon, FNP
- Family Nurse Practitioner
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61243692
- Practice address
- 650 N Devine Rd Ste B
Vancouver, WA 98661-6979 - Phone
- (360) 952-4457
- Fax
- (360) 828-7409
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61243692 | WA | Primary |
| Registered Nurse | 163W00000X | 201141805RN | OR | |
| Family Nurse Practitioner | 363LF0000X | 201391900NP-PP | OR |
Addresses
Primary practice location
650 N Devine Rd Ste B
Vancouver, WA 98661-6979
Mailing address
18 NW 20TH Ave
Battle Ground, WA 98604-4175
Phone (360) 952-4457
Other practice location 1
7101 NE 137th Ave
Vancouver, WA 98682-4933
Phone (800) 813-2000
Other practice location 2
18 NW 20th Ave
Battle Ground, WA 98604-4175
Phone (360) 952-4457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Oregon Health Sciences University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
365 SW Belair Dr
Clatskanie, OR 97016-7414
Phone (503) 728-2744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201391900NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Altea Medical Oregon LLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Manor Care of Salmon Creek Wa, Association | Current | Accepting new patients | |
| Rose Medical Groups, PC | Current | Accepting new patients | |
| United Wound Healing Accountable Care Consultants PLLC | Family | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
1250 SE Roberts Ave
Gresham, OR 97080
Phone (503) 667-5430
405 NE 5th St
Gresham, OR 97030
Phone (503) 666-5600
530 Birch St
Junction City, OR 97448
Phone (541) 998-2395
5200 Meadows Rd
Ste 200
Lake Oswego, OR 97035
Phone (503) 345-3260
637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
127 NE 102nd Ave
Ste A
Portland, OR 97220
Phone (541) 998-2395
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
18 NW 20th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 952-4457
18 NW 20th Ave
Battle Ground, WA 98604
Phone (360) 597-9731
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646
80 SW 2nd St
Renton, WA 98057
Phone (425) 226-4510
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
650 N Devine Rd
Ste B
Vancouver, WA 98661
Phone (360) 859-3280
Interoperability endpoints
- https://api.platform.athenahealth.com/10370/brand/1/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
OR, WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Family Medicine Physician
- Battle Ground, WA
- NPI 1063818573
-
- Geriatric Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1184451254
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Skilled Nursing Facility
- Vancouver, WA
- NPI 1609171081
-
- Surgery Physician
- Puyallup, WA
- NPI 1881337632
Family
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1154619260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NW 20TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044175",
"telephone_number": "360-952-4457",
"fax_number": "360-828-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N DEVINE RD STE B",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986616979",
"telephone_number": "360-952-4457",
"fax_number": "360-828-7409"
}
],
"practiceLocations": [
{
"address_1": "7101 NE 137th Ave",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986824933",
"country_code": "US",
"telephone_number": "800-813-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18 NW 20th Ave",
"address_purpose": "LOCATION",
"city": "Battle Ground",
"state": "WA",
"postal_code": "986044175",
"country_code": "US",
"telephone_number": "360-952-4457",
"fax_number": "360-828-7409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCANLON",
"first_name": "KINDRA",
"middle_name": "THERESA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61243692",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201141805RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201391900NP-PP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.