Active NPI
Joan Therese Panke, NP
- Nurse Practitioner
- Washington, DC
National Provider Identifier
1710212162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN1004354
- Practice address
- 1010 Wisconsin Ave NW
#300
Washington, DC 20007-3603 - Phone
- (202) 289-1201
- NPI assigned
- Oct 2, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN1004354 | DC | Primary |
Addresses
Primary practice location
1010 Wisconsin Ave NW
#300
Washington, DC 20007-3603
Mailing address
1010 Wisconsin Ave NW
#300
Washington, DC 20007-3603
Phone (202) 289-1201
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1004354 | DC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Palliative Care Consultants, LLC | Past | Accepting new patients | |
| Professional Healthcare Resources | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Washington, DC
- NPI 1033452115
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Largo, MD
- NPI 1891011151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1710212162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WISCONSIN AVE NW",
"address_2": "#300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200073603",
"telephone_number": "202-289-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WISCONSIN AVE NW",
"address_2": "#300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200073603",
"telephone_number": "202-289-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANKE",
"first_name": "JOAN",
"middle_name": "THERESE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "RN1004354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.