Individual provider Active NPI

Kylie Stillman, RN

  • Registered Nurse
  • Scio, OR
National Provider Identifier
1932908035
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
201404015RN Issued in OR
Practice address
38875 NW 1St Ave
Scio, OR 97374-9501
Phone
(503) 394-3265
NPI assigned
Mar 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201404015RN OR Primary

Addresses

Primary practice location

38875 NW 1St Ave
Scio, OR 97374-9501

Mailing address

38875 NW 1St Ave
Scio, OR 97374-9501
Phone (503) 394-3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201404015RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Scio School District Linn Co. 95 C CurrentSince Apr 27, 2025 Accepting new patients
Scio School District Linn Co. 95 C CurrentSince Mar 24, 2025 Accepting new patients

Locations

38875 NW 1st Ave
Scio, OR 97374
Phone (503) 394-3261

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1932908035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38875 NW 1ST AVE",
            "city": "SCIO",
            "state": "OR",
            "postal_code": "973749501",
            "telephone_number": "503-394-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38875 NW 1ST AVE",
            "city": "SCIO",
            "state": "OR",
            "postal_code": "973749501",
            "telephone_number": "503-394-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "KYLIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201404015RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scio, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.