Healthcare Provider Details

I. General information

NPI: 1366417073
Provider Name (Legal Business Name): JANET KAY GINDHART RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14640 WOODLAND PL
BROOKFIELD WI
53005-7609
US

IV. Provider business mailing address

3480 LILLY ROAD
BROOKFIELD WI
53005-7609
US

V. Phone/Fax

Practice location:
  • Phone: 262-790-0933
  • Fax:
Mailing address:
  • Phone: 262-781-8039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number59727030
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number59727030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: