KATHLEEN HENECKE PNP NPI 1740286608

NPI Information

  • NPI: 1740286608
  • Provider Name: KATHLEEN HENECKE, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • CLIA Number: 33D2263309
  • Address: 17 MAIN ST
    STE 302
    CORTLAND, NY
    ZIP 13045
  • Phone: (607) 753-3798

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NPI Details

Kathleen Henecke, PNP is a pediatrics nurse practitioner in Cortland, NY. Kathleen Henecke, PNP NPI is 1740286608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17 MAIN ST
STE 302
CORTLAND, NY
ZIP 13045-615
Phone: (607) 753-3798
Fax: (607) 753-6677

The CLIA number assigned to this NPI record is 33D2263309 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse5323055NEW YORKNo
2363LP0200XNurse PractitionerPediatricsF380804-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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