Individual provider Active NPI

Kandice Dianne Schultz, RN, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1861687170
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 00165285 Issued in WA
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

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210805001126 WA Practitioner - Nurse Practitioner 1951585991 Reassigns benefits to 2 organizations
I20230607000971 OR Practitioner - Nurse Practitioner 1951585991 Reassigns benefits to 2 organizations

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
Express Care Or PCGroup PAC ID 1254768732, 60 clinicians
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians

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

LicenseStateTypeSpecialty
RN 00165285WAMDFamily Nurse Practitioner
RN-0016525WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Hospital LLC Current Accepting new patients
Express Care Wa PC CurrentSince Jan 15, 2026 Accepting new patients
Lourdes Hospital LLC CurrentSince Jul 1, 2021 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Express Care Or PC CurrentSince Dec 14, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.