Active NPI
Kandice Dianne Schultz, RN, ARNP
- Family Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 00165285
- Practice address
- 9040 Reid St
Tacoma, WA 98431-1100 - Phone
- (253) 968-2252
- Fax
- (253) 968-3278
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN 00165285 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN-0016525 | WA |
Addresses
Primary practice location
9040 Reid St
Tacoma, WA 98431-1100
Mailing address
104 Crestwood Dr SW
Lakewood, WA 98498-3832
Phone (509) 366-0361
Other practice location 1
13428 Colton Pl Ste 102
Oregon City, OR 97045-5003
Phone (888) 227-3312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13428 Colton PL
Suite 102
Oregon City, OR 97045-5003
Phone (888) 227-3312
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 00165285 | WA | MD | Family Nurse Practitioner |
| RN-0016525 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Hospital LLC | Current | Accepting new patients | |
| Express Care Wa PC | Current | Accepting new patients | |
| Lourdes Hospital LLC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Express Care Or PC | Current | Accepting new patients | |
| Renown Urgent Care LLC | Past | Accepting new patients | |
| Lourdes Hospital LLC | Past | Accepting new patients |
Locations
200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500
1336 NE Orenco Station Pkwy
Hillsboro, OR 97124
1840 E Portland Rd
Newberg, OR 97132
Phone (503) 538-9360
13428 Colton Pl
Ste 102
Oregon City, OR 97045
14617 SE McLoughlin Blvd
Portland, OR 97267
Phone (503) 652-4047
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
7425 Wrigley Dr
Ste 100
Pasco, WA 99301
Phone (509) 416-8888
5304 Road 68
Pasco, WA 99301
Phone (509) 543-9300
7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027
Organizations & group practices 7
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.
-
- General Practice Physician
- Portland, OR
- NPI 1205499126
-
- Internal Medicine Physician
- Pasco, WA
- NPI 1659861060
-
- Critical Access Hospital
- Pasco, WA
- NPI 1831284280
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Psychiatric Hospital
- Richland, WA
- NPI 1548342181
-
- Family Medicine Physician
- Fernley, NV
- NPI 1821043381
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1861687170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CRESTWOOD DR SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984983832",
"telephone_number": "509-366-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 REID ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2252",
"fax_number": "253-968-3278"
}
],
"practiceLocations": [
{
"address_1": "13428 Colton Pl Ste 102",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970455003",
"country_code": "US",
"telephone_number": "888-227-3312",
"fax_number": "503-717-9967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTZ",
"first_name": "KANDICE",
"middle_name": "DIANNE",
"name_prefix": "Ms.",
"credential": "RN, ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "RN 00165285",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "RN-0016525",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.