Active NPI
Chloe Warehall, BS; MB, BCH, BAO
- Surgery Physician
- Boston, MA
National Provider Identifier
1558877415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 292965
- Practice address
- 55 Fruit St
Boston, MA 02114-2696 - Phone
- (617) 726-2800
- Fax
- (617) 724-3499
- NPI assigned
- Dec 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB401629 | CA | |
| Surgery Physician | 208600000X | 292965 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2800
Other practice location 1
3355 Mission Ave Ste 221
Oceanside, CA 92058-1328
Phone (760) 458-8212
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 |
|---|---|---|---|
| BACB401629 | CA | MD | Behavior Technician |
| 292965 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1558877415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-2800",
"fax_number": "617-724-3499"
}
],
"practiceLocations": [
{
"address_1": "3355 Mission Ave Ste 221",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920581328",
"country_code": "US",
"telephone_number": "760-458-8212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAREHALL",
"first_name": "CHLOE",
"credential": "BS; MB, BCH, BAO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "BACB401629",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "292965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.