Katelyn Pancake, EMT

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

203402 Issued in OR

Practice address

970 W 7TH Ave
Eugene, OR 97402-4612

Phone

(541) 342-8255

NPI assigned

Dec 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1841901915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S 2ND ST",
            "city": "HARRISBURG",
            "state": "OR",
            "postal_code": "974469646",
            "telephone_number": "541-337-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024612",
            "telephone_number": "541-342-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCAKE",
        "first_name": "KATELYN",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OR",
            "license": "203402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Palmer
• Nicole Marie Palmer, MD
• Susan K Palmer, MD
• Saratessa Nicole Palos, BCBA
• Ashley Panagakis
• Gina Pancottine, LMT
• Jose Panduro
• Aaron Pangborn, RN
• Rebecca Pangborn
• Chakri Panjala, M.D.

• Emergency Medical Services (Emergency Medicine) Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.