MS. EMILY BERNARDES KLOCKENGA MED
NPI 1093285454
Health Educator in Springfield, IL
NPI Status: Active since November 28, 2018
Contact Information
2943 W WHITE OAKS DR STE 1
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 402-8455
- Individual
- Female
- Health Educator
- CLIA Number: 14D2151919
- CLIA Cert. Type: Other - HEALTH BEHAVIOR FIELD
- CLIA Exp. Date: 07-30-2026
About EMILY KLOCKENGA
This page provides the complete NPI Profile along with additional information for Emily Klockenga, a provider established in Springfield, Illinois with a medical specialization in Health Educator. The healthcare provider is registered in the NPI registry with number 1093285454 assigned on November 2018. The practitioner's primary taxonomy code is 174H00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1093285454
- Provider Name
- MS. EMILY BERNARDES KLOCKENGA MED
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2943 W WHITE OAKS DR STE 1 SPRINGFIELD, IL 62704
- Location Phone
- (217) 402-8455
- Mailing Address
- 2943 W WHITE OAKS DR STE 1 SPRINGFIELD, IL 62704
- Mailing Phone
- (217) 402-8455
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-28-2018
- Last Update Date
- 11-23-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Health Educator
- Taxonomy Code
- 174H00000X
- Type
- Other Service Providers
- Taxonomy Description
- Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2151919
- Facility Type
- Other - HEALTH BEHAVIOR FIELD
- Certificate Effective Date
- July 31, 2024
- Certificate Expiration Date
- July 30, 2026
- Laboratory Director
- EMILY KLOCKENGA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Emily Klockenga to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093285454, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093285454, enumerated as an "individual" on November 28, 2018.
The provider is located at 2943 W WHITE OAKS DR STE 1 SPRINGFIELD, IL 62704 and the phone number is (217) 402-8455.
Health Educator with taxonomy code 174H00000X.
