Individual provider Active NPI

Kindra Theresa Scanlon, FNP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1154619260
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61243692 Issued in WA
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

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130925000585 OR Practitioner - Nurse Practitioner 7719121193 Reassigns benefits to 3 organizations
I20220726001068 WA Practitioner - Nurse Practitioner 7719121193 Reassigns benefits to 4 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

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

LicenseStateTypeSpecialty
201391900NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Jan 23, 2025 Accepting new patients
Altea Medical Oregon LLC CurrentSince Feb 23, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 1, 2025 Accepting new patients
Manor Care of Salmon Creek Wa, Association CurrentSince Dec 1, 2025 Accepting new patients
Rose Medical Groups, PC CurrentSince Feb 18, 2024 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC Family CurrentSince Apr 15, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.