Active NPI
Anne M Pancake-Torres, LMP
- Specialist
- Renton, WA
National Provider Identifier
1871610683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA7807
- Practice address
- 17333 SE 133Rd St
Renton, WA 98059-7026 - Phone
- (425) 793-7505
- NPI assigned
- Mar 25, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA7807 | WA | Primary |
Addresses
Primary practice location
17333 SE 133Rd St
Renton, WA 98059-7026
Mailing address
17333 SE 133Rd St
Renton, WA 98059-7026
Phone (425) 793-7505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71435 | Other | WA | LABOR & INDUSTRY |
Other names 1
- Anne Pancake
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 |
|---|---|---|---|
| MA7807 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage for World Peace | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Contractor
- Renton, WA
- NPI 1194190538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1871610683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17333 SE 133RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980597026",
"telephone_number": "425-793-7505",
"fax_number": "425-793-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17333 SE 133RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980597026",
"telephone_number": "425-793-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCAKE-TORRES",
"first_name": "ANNE",
"middle_name": "M",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA7807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "71435",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "PANCAKE",
"credential": "LMPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.