MS. EMILY BERNARDES KLOCKENGA


Address: 2943 W White Oaks Dr Ste 1, Springfield, IL 62704-6596
Phone: 2174028455

MS. EMILY BERNARDES KLOCKENGA (NPI# 1093285454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093285454
Entity Type Individual
Full Name MS. EMILY BERNARDES KLOCKENGA
Credential MED
Practice Address 2943 W White Oaks Dr Ste 1
Springfield
IL 62704-6596
Practice Telephone 2174028455
Mailing Telephone 2174028455
Enumeration Date 2018-11-28
Last Update Date 2019-11-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174H00000X Health Educator Other Service Providers

Office Location

Street Address 2943 W WHITE OAKS DR STE 1
City SPRINGFIELD
State IL
Zip Code 62704-6596

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1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
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Taxonomy Information

Taxonomy Code 174H00000X
Grouping Other Service Providers
Classification Health Educator

Taxonomy Definition

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.
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033767314 Jacob Showalter Health Educator 1126 N Broadway Ave Bldg A, Springfield, MO 65802-4158 2019-08-29
1952958415 Lisa Spector Health Educator 1678 E Belmont St, Springfield, MO 65802-3332 2019-08-20
1881154821 Drew Lewis Foundation, Inc. Health Educator 1126 N Broadway Ave, Springfield, MO 65802-4158 2019-03-25
1871068296 Alexis Singleton Health Educator 605 E Rose St, Springfield, OH 45505-3842 2018-10-11
1316444185 Paul J Weber Health Educator 300 S Limestone St, Springfield, OH 45505-1071 2018-04-09
1538566518 Herve Leboeuf IIi Health Educator 9015 Daum Ct, Springfield, VA 22153-2453 2014-11-19
1972885960 24/7 Total Fitness Health Educator 31545 Highway 22, Springfield, LA 70462-7436 2011-09-15
1922589415 Sidney Leann Owings Health Educator 2989 Derr Rd, Springfield, OH 45503-1369 2018-08-23
1255882973 Young Men's Christian Association of Greater Springfield Health Educator 275 Chestnut St, Springfield, MA 01104-3562 2016-10-18
1629440797 Sophie Slater Health Educator 1901 E Bennett St Ste D, Springfield, MO 65804-1434 2015-10-28
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Competitor

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City SPRINGFIELD
Zip Code 62704

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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