Active NPI
Regina Kaye Pancake
- Social Worker
- Keyser, WV
National Provider Identifier
1477149763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP942415
- Practice address
- 875 S Mineral St
Keyser, WV 26726-2860 - Phone
- (304) 788-5467
- Fax
- (304) 788-6363
- NPI assigned
- Dec 21, 2020
- Last updated
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AP942415 | WV | Primary |
Addresses
Primary practice location
875 S Mineral St
Keyser, WV 26726-2860
Mailing address
136 N Burgess Hollow Rd
Elk Garden, WV 26717-9657
Phone (304) 788-5467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP942415 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1477149763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N BURGESS HOLLOW RD",
"city": "ELK GARDEN",
"state": "WV",
"postal_code": "267179657",
"telephone_number": "304-788-5467",
"fax_number": "304-788-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 S MINERAL ST",
"city": "KEYSER",
"state": "WV",
"postal_code": "267262860",
"telephone_number": "304-788-5467",
"fax_number": "304-788-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCAKE",
"first_name": "REGINA",
"middle_name": "KAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP942415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.