Joanna Nicole Kallendorf (NPI# 1295278653, PAC ID# 5597046011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295278653 |
| PAC ID by PECOS | 5597046011 |
| Professional Enrollment ID | I20161221001082 |
| Full Name | Joanna Nicole Kallendorf |
| Organization Legal Name | SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES |
| Address |
193 Oates Dr Newton AL 36352-9588 |
| Phone Number | 3348863023 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8123009057 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010055 | FLOWERS HOSPITAL |
| 010021 | DALE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 193 Oates Dr, Newton, AL 36352-9588 | 3348863023 | SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES |
| Organization Legal Name | SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica E Poitevint | Nurse Practitioner | Southeast Alabama Rural Health Associates | 105 E Watts St, Enterprise, AL 36330-2511 |
| Rodney L Kerns | Family Medicine | Southeast Alabama Rural Health Associates | 162 S Dalton St, Slocomb, AL 36375-5669 |
| Cynthia N Milstead | Nurse Practitioner | Southeast Alabama Rural Health Associates | 1412 Elba Hwy, Troy, AL 36079-6020 |
| Haley G Clements | Nurse Practitioner | Southeast Alabama Rural Health Associates | 23 Veteran Blvd, Eufaula, AL 36027-4444 |
| Carol W Morrison | Nurse Practitioner | Southeast Alabama Rural Health Associates | 18131 Dozier Hwy, Dozier, AL 36028-0100 |
| Norma Lynn Hughes | Nurse Practitioner | Southeast Alabama Rural Health Associates | 1412 Elba Hwy, Troy, AL 36079-6020 |
| Robert L Gilliam | Family Medicine | Southeast Alabama Rural Health Associates | 1412 Elba Hwy, Troy, AL 36079-6020 |
| Donette L Bish | Family Medicine | Southeast Alabama Rural Health Associates | 1412 Elba Hwy, Troy, AL 36079-6020 |
| Mark E Choquette Jr. | Physician Assistant | Southeast Alabama Rural Health Associates | 1412 Elba Hwy, Troy, AL 36079-6020 |
| Russell E Cotton | Physician Assistant | Southeast Alabama Rural Health Associates | 1412 Elba Hwy, Troy, AL 36079-6020 |
| Street Address |
193 OATES DR |
| City | NEWTON |
| State | AL |
| Zip | 36352-9588 |
| City | NEWTON |
| Zip Code | 36352 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEWTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Joanna Nicole Kallendorf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.