Individual provider Active NPI

Jenna Renee Kallendorf, APRN

  • Family Nurse Practitioner
  • Cold Spring, KY
National Provider Identifier
1083194229
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023168 Issued in OH
Practice address
375 Cross Roads Blvd
Cold Spring, KY 41076-2202
Phone
(859) 448-1201
NPI assigned
Aug 17, 2018
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.023168 OH Primary

Addresses

Primary practice location

375 Cross Roads Blvd
Cold Spring, KY 41076-2202

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other names 1

  • Jenna Renee Kriege Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181022000511 KY Practitioner - Nurse Practitioner 4183977192 Reassigns benefits to 1 organization
I20190823000911 OH Practitioner - Nurse Practitioner 4183977192 Reassigns benefits to 2 organizations
I20201120001754 KS Practitioner - Nurse Practitioner 4183977192 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Sep 6, 2018 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jun 23, 2019 Accepting new patients

Locations

1700 Declaration Dr
Independence, KY 41051
Phone (859) 363-9020

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

375 Cross Roads Blvd
Newport, KY 41076
Phone (859) 448-1170

1 W Corry St
Cincinnati, OH 45219
Phone (513) 475-7755

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

Interoperability endpoints

  • Direct secure messaging: jkriege@landmarkhealth-direct.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1083194229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CROSS ROADS BLVD",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410762202",
            "telephone_number": "859-448-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLENDORF",
        "first_name": "JENNA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KRIEGE",
            "middle_name": "RENEE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cold Spring, KY

Sources for this page

Verify at the official NPI Registry.