KATHRYN HENECKE


Address: 824 Elm St, Windsor, CO 80550-4738
Phone: 9702182452

KATHRYN HENECKE (NPI# 1598206435) 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) 1598206435
Entity Type Individual
Full Name KATHRYN HENECKE
Practice Address 824 Elm St
Windsor
CO 80550-4738
Practice Telephone 9702182452
Enumeration Date 2017-03-11
Last Update Date 2017-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 1617943 CO Nursing Service Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RXN.0102515-NP CO Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APN.0992990-NP CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 824 ELM ST
City WINDSOR
State CO
Zip Code 80550-4738

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WINDSOR
Zip Code 80550

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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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