Christine La Porte Palank, RN, MS, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

29775 Issued in WV

Practice address

Shepherd Univ Student Health Services
E King St
Shepherdstown, WV 25443-1032

Phone

(304) 876-5161

Fax

(304) 876-5509

NPI assigned

Oct 12, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326036419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SHEPHERD LN",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434681",
            "telephone_number": "304-876-2991",
            "fax_number": "304-876-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHEPHERD UNIV STUDENT HEALTH SERVICES",
            "address_2": "E KING ST",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254431032",
            "telephone_number": "304-876-5161",
            "fax_number": "304-876-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANK",
        "first_name": "CHRISTINE",
        "middle_name": "LA PORTE",
        "credential": "RN, MS, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "29775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Gabriella Frances Myers
• J. David Myers, MA, LPC
• Eli Samuel Nolasco
• Natasha Margaret Obanion
• Brian Joseph Palank, DDS
• Brittany Palaschak
• Thomas Yoon Park
• J. Peterson, PH.D., L.L.C.
• Polonchak Educational Associates
• Cathy Polonchak, LICSW

• Adult Health Nurse Practitioner in Shepherdstown, WV
• Providers in Shepherdstown, WV by specialty
• Adult Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.