Individual provider Active NPI

Jennifer L Gindt, ARNP

  • Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1508318767
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60702213 Issued in WA
Practice address
1410 Lakeside CT
Yakima, WA 98902-7305
Phone
(194) 947-0277
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60702213 WA Primary

Addresses

Primary practice location

1410 Lakeside CT
Yakima, WA 98902-7305

Mailing address

1410 Lakeside CT
Yakima, WA 98902-7305
Phone (194) 947-0277

Other identifiers 1

IdentifierTypeStateIssuer
2073555MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20170123002386 WA Practitioner - Nurse Practitioner 0941582191 Practice locations: Yakima, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1410 Lakeside CT
Suite 107
Yakima, WA 98902-7305
Phone (888) 268-2872

Hospital & facility affiliations

  • Mountainview Home Health Home health agency, Yakima, WA, CCN 507115
  • Memorial Home Care Services Home health agency, Yakima, WA, CCN 507028
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer L Gindt Arnp-C CurrentSince Nov 19, 2023 Accepting new patients

Locations

1410 Lakeside Ct
Ste 107
Yakima, WA 98902
Phone (719) 494-7027

Organizations & group practices 1

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 4

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1508318767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LAKESIDE CT",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027305",
            "telephone_number": "194-947-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LAKESIDE CT",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027305",
            "telephone_number": "194-947-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDT",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60702213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073555",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.