Joanna Nicole Kallendorf, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-116722 Issued in AL

Practice address

193 Oates Dr
Newton, AL 36352-4312

Phone

(334) 299-3592

Fax

(334) 299-3870

NPI assigned

Dec 2, 2016

Last updated

Aug 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southeast Alabama Rural Health Associates

  dba Enterprise Children's Center & Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Enterprise, AL
  • NPI 1891856134
  Medicare reassignment NPD
• Southern Alabama Physicians LLP

  • Emergency Medicine Physician
  • Dothan, AL
  • NPI 1467701490
  Medicare reassignment NPD
• Southeast Alabama Rural Health Associates

  dba Andalusia Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Andalusia, AL
  • NPI 1417753237
  NPD
• Southeast Alabama Rural Health Associates

  dba Newton Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Newton, AL
  • NPI 1780745034
  NPD
• Southern Alabama Physicians,LLP

  • Emergency Medicine Physician
  • Enterprise, AL
  • NPI 1649696378
  NPD

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1295278653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 OATES DR",
            "city": "NEWTON",
            "state": "AL",
            "postal_code": "363524312",
            "telephone_number": "334-299-3592",
            "fax_number": "334-299-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLENDORF",
        "first_name": "JOANNA",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Harmon, PA
• Kayla Morgan Hart, RBT
• Diana Holloway
• Houston Treatment Center, LLC
• Joshua Selma Jordan, LMSW
• Jessica Nicole Bean King
• Ronald Peter King, M.D., M.P.H.
• Erica Nicole Lane
• Lionheart Behavioral Health Group, LLC
• Victoria Reachele Mathis, CRNP

• Family Nurse Practitioner in Newton, AL
• Providers in Newton, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.