Individual provider Active NPI

Terra Lang Schultz, RN

  • Registered Nurse
  • Portland, OR
National Provider Identifier
1225498686
Registry record updated Feb 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
201393443RN Issued in OR
Practice address
9900 SW Greenburg Rd
Suite 290
Portland, OR 97223-5502
Phone
(503) 968-2401
NPI assigned
Feb 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201393443RN OR Primary
Registered Nurse 163W00000X RN60431575 WA

Addresses

Primary practice location

9900 SW Greenburg Rd
Suite 290
Portland, OR 97223-5502

Mailing address

2352 SW Vermont St
Portland, OR 97219-9437
Phone (541) 403-0990

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201393443RNORMDRegistered Nurse
RN60431575WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Nursing Specialties, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456617600000",
    "number": "1225498686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 SW VERMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972199437",
            "telephone_number": "541-403-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW GREENBURG RD",
            "address_2": "SUITE 290",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235502",
            "telephone_number": "503-968-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "TERRA",
        "middle_name": "LANG",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-28",
        "last_updated": "2016-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201393443RN",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60431575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.