Kendyll Renee Woods, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201706577NP-PP Issued in OR

Practice address

2111 NE 25TH Ave
Ms: JF5-167
Hillsboro, OR 97124-5961

Phone

(971) 214-8607

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kendyll Renee Schultz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518484153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NE 25TH AVE MS: JF5-167",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245961",
            "telephone_number": "971-214-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NE 25TH AVE",
            "address_2": "MS: JF5-167",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245961",
            "telephone_number": "971-214-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KENDYLL",
        "middle_name": "RENEE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201706577NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDYLL",
            "last_name": "SCHULTZ",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Marie Wood, ED.S NCSP
• Julie Elaine Wood, LCSW
• Nicole Kiana Wood, LMT
• Tiffany L Wood
• Alisha Woods
• Michael P Woolard
• Kevin Jacob Woolf, MD
• Christine Marie Woolsey, FNP-C
• Amber Wootan, LMT
• William T Wooten

• Family Nurse Practitioner in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.