Kayla Facundus, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201907397 Issued in OR

Practice address

8740 SE Sunnybrook Blvd Ste 300
Clackamas, OR 97015-5737

Phone

(971) 358-5600

Fax

(971) 358-5601

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PDX Allergy LLCGroup PAC ID 8224458062, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krfacundus@pacificmedicalgroup.directbygreenway.com

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.

• PDX Allergy LLC

  • Allergy & Immunology Physician
  • Clackamas, OR
  • NPI 1447874367
  Medicare reassignment Care Compare group NPD
• Aaim Care LLC

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1184804064
  NPD
• St Luke'S Medical Group of Louisiana, LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1922504364
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1841784345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 SE SUNNYBROOK BLVD STE 300",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155737",
            "telephone_number": "971-358-5600",
            "fax_number": "971-358-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACUNDUS",
        "first_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201907397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evexia, LLC
• Jeanne Louise Ewen, MSW
• Excel Hospice and Palliative Care LLC
• Eye Health Northwest P.C.
• Eyuel Etansa Afh
• Ali Reza Faheeh, M.D.
• Jae M Fairbanks, LMT
• Cynthia H Falk, PHYSICAL THERAPIST
• Amy V Faloni
• Irene Babbi Falvey, MSW

• Family Nurse Practitioner in Clackamas, OR
• Providers in Clackamas, 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 Apr 29, 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.

Verify at the official NPI Registry.