Andy Lee Schultz

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

201143201RN Issued in OR

Practice address

1877 Williams Hwy
Grants Pass, OR 97527-5802

Phone

(541) 955-5551

Fax

(541) 955-7171

NPI assigned

May 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1437895281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275802",
            "telephone_number": "541-955-5551",
            "fax_number": "541-955-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275802",
            "telephone_number": "541-955-5551",
            "fax_number": "541-955-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ANDY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OR",
            "license": "201143201RN",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OR",
            "license": "201143201RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Schram
• Moriah L Schrijn, QMHA
• Debbie Schroeder
• Jamie Schroeder
• Robert Dewayne Schroeder, DENTUREST L.D.
• Christina Ann Marie Schultz, LMT
• Kimberlee Lynn Schuttpelz, RPH
• Maureen Schwartz
• Michael W Schwartz, O.D.
• Jane M. Schwehr, RN

• Administrator Registered Nurse in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Administrator Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.