JOANNA NICOLE KALLENDORF


Address: 193 Oates Dr, Newton, AL 36352-4312
Phone: 3342993592

JOANNA NICOLE KALLENDORF (NPI# 1295278653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295278653
Entity Type Individual
Full Name JOANNA NICOLE KALLENDORF
Credential CRNP
Practice Address 193 Oates Dr
Newton
AL 36352-4312
Mailing Address 1414 Elba Hwy
Troy
AL 36079-6020
Practice Telephone 3342993592
Practice Fax Number 3342993870
Mailing Telephone 3346706726
Mailing Fax Number 3346706731
Enumeration Date 2016-12-02
Last Update Date 2019-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
1-116722 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 193 OATES DR
City NEWTON
State AL
Zip Code 36352-4312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649248105 Billy Harmon Physician Assistant 193 Oates Dr, Newton, AL 36352-4312 2006-03-10
1780745034 Southeast Alabama Rural Health Associates Clinic/Center 193 Oates Dr, Newton, AL 36352-4312 2006-12-12
1043220122 Charles David Winfrey Physician Assistant 193 Oates Dr, Newton, AL 36352-4312 2006-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962914077 Atyme 4 U Counseling Counselor 3291 S. County Rd 9, Newton, AL 36352 2017-10-30
1619423936 Judieth Darlene Sims Nurse Practitioner 858 County Road 426, Newton, AL 36352-3711 2016-08-28
1043231525 Dale County Rescue and Recovery Ambulance 449 S College St, Newton, AL 36352-4018 2006-07-21
1245534981 Dale County Rescue Inc. Ambulance 449 S College St, Newton, AL 36352-4018 2011-01-10
1598091993 Dale County Rescue Ambulance 449 S College St, Newton, AL 36352-4018 2009-10-20
1407327984 Dale Ems and Rescue Squad Ambulance 209 Oates Dr, Newton, AL 36352-4314 2018-12-10
1477753770 Ronald Peter King Family Medicine 893 Doe Run Dr, Newton, AL 36352-7329 2007-07-24
1356883649 Madeline Cornett Counselor 11290 W Us 84, Newton, AL 36352-8118 2016-11-17
1700318052 Mc Counseling Service Counselor 11290 W Us 84, Newton, AL 36352-8118 2017-03-28
1972691293 Houston Treatment Center, LLC Community/Behavioral Health 9283 W Us 84, Newton, AL 36352-8207 2006-10-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699318931 Katherine Lee Nurse Practitioner 141 Needham St, Newton, MA 02464-1505 2019-10-18
1891278107 Jana Hart Brock Nurse Practitioner 3389 William Irvin Rd, Newton, GA 39870-7129 2018-09-12
1083112676 Leatrice M Current Nurse Practitioner 112 Kemah Mecca Lake Rd, Newton, NJ 07860-6614 2018-01-29
1629507025 Marilyn Gamber Nurse Practitioner 141 Needham St Ste N205, Newton, MA 02464 2017-06-08
1619423936 Judieth Darlene Sims Nurse Practitioner 858 County Road 426, Newton, AL 36352-3711 2016-08-28
1902289879 Bridgett Simmons Nurse Practitioner 10150 E North Lake Dr, Newton, IL 62448-3461 2015-07-09
1346639267 Lacey Anderson Nurse Practitioner 700 Medical Center Dr Ste 210, Newton, KS 67114-9017 2015-01-15
1629486477 Johanna Forman Lam Nurse Practitioner 2000 Washington St Ste 544, Newton, MA 02462 2014-07-24
1346661659 Business Revenue Corporation Nurse Practitioner 615 N 2nd Ave W, Newton, IA 50208-3015 2014-01-04
1316228992 Melissa Ann Saris Nurse Practitioner 978 Boylston Street, Cvs Minute Clinic, Newton, MA 02461 2011-09-08
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Competitor

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City NEWTON
Zip Code 36352

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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