MRS. TRACEY ANN KLOCK LPN
NPI 1679708101
Licensed Practical Nurse in Jordan, NY

NPI Status: Active since May 28, 2009

Contact Information

5444 HAMILTON RD
JORDAN, NY
ZIP 13080
Phone: (315) 689-6519

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  • Individual
  • Female
  • Licensed Practical Nurse

About TRACEY KLOCK

This page provides the complete NPI Profile along with additional information for Tracey Klock, a provider established in Jordan, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1679708101 assigned on May 2009. The practitioner's primary taxonomy code is 164W00000X with license number 287183-1 (NY). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1679708101
Provider Name
MRS. TRACEY ANN KLOCK LPN
Gender
Female
Entity Type
Individual
Location Address
5444 HAMILTON RD JORDAN, NY 13080
Location Phone
(315) 689-6519
Mailing Address
5444 HAMILTON ROAD JORDAN, NY 13080
Mailing Phone
(315) 689-6519
Is Sole Proprietor?
Yes
Enumeration Date
05-28-2009
Last Update Date
05-28-2009
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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

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
287183-1
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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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 1679708101, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 4 + 0 + 1 + 6 + 1 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1679708101.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679708101, enumerated as an "individual" on May 28, 2009.

The provider is located at 5444 HAMILTON RD JORDAN, NY 13080 and the phone number is (315) 689-6519.

Licensed Practical Nurse with taxonomy code 164W00000X.