Trinity Health-Care of Wi LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5674-33 Issued in WI

Legal business name

TRINITY HEALTH-CARE OF WI LLC

Practice address

1574 W Broadway
Suite # 103
Monona, WI 53713-1824

Phone

(608) 298-8441

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Sandi L Kindigoguzulu, RN-MSN/MBA-FNPBC

Title

Nurse Practitioner

Phone

(608) 298-8441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1528447257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5065",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537050065",
            "telephone_number": "608-298-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 W BROADWAY",
            "address_2": "SUITE # 103",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131824",
            "telephone_number": "608-298-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH-CARE OF WI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "KINDIGOGUZULU",
        "authorized_official_first_name": "SANDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "608-298-8441",
        "authorized_official_credential": "RN-MSN/MBA-FNPBC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5674-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Monona, WI
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• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.