Individual provider Active NPI

Anne M Pancake-Torres, LMP

  • Specialist
  • Renton, WA
National Provider Identifier
1871610683
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA7807 Issued in WA
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

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
71435OtherWALABOR & INDUSTRY

Other names 1

  • Anne Pancake Professional name

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

LicenseStateTypeSpecialty
MA7807WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.