KATHLEEN HENECKE PNP
NPI 1740286608
Nurse Practitioner - Pediatrics in Cortland, NY
NPI Status: Active since June 24, 2005
Contact Information
17 MAIN ST
STE 302
CORTLAND, NY
ZIP 13045
Phone: (607) 753-3798
Fax: (607) 753-6677
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- CLIA Number: 33D2263309
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-26-2026
About KATHLEEN HENECKE
This page provides the complete NPI Profile along with additional information for Kathleen Henecke, a provider established in Cortland, New York with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1740286608 assigned on June 2005. The practitioner's primary taxonomy code is 363LP0200X with license number F380804-1 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1740286608
- Provider Name
- KATHLEEN HENECKE PNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 17 MAIN ST STE 302 CORTLAND, NY 13045
- Location Phone
- (607) 753-3798
- Location Fax
- (607) 753-6677
- Mailing Address
- RD#1 CEMETARY ROAD FABIUS, NY 13063
- Mailing Phone
- (315) 677-9779
- Mailing Fax
- (607) 753-6677
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-24-2005
- Last Update Date
- 09-11-2025
- Code Navigator
A nurse practitioner (NP) like Kathleen Henecke is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- F380804-1
- License State
- NY
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 5323055 (NY) |
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
- 33D2263309
- Facility Type
- Physician Office
- Certificate Effective Date
- June 27, 2024
- Certificate Expiration Date
- June 26, 2026
- Laboratory Director
- KATHLEEN GARNDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kathleen Henecke 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 1740286608, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
CORTLAND, NY 13045
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740286608, enumerated as an "individual" on June 24, 2005.
The provider is located at 17 MAIN ST STE 302 CORTLAND, NY 13045 and the phone number is (607) 753-3798.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
