Active NPI
Claudia Chanlett Prose, MD
- Pediatrics Physician
- Greensboro, NC
National Provider Identifier
1689678047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9700370
- Practice address
- 301 E Wendover Ave
Ste 400
Greensboro, NC 27401-1230 - Phone
- (336) 832-3150
- Fax
- (336) 832-3151
- NPI assigned
- Jun 13, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9700370 | NC | Primary |
Addresses
Primary practice location
301 E Wendover Ave
Ste 400
Greensboro, NC 27401-1230
Mailing address
301 E Wendover Ave
Ste 400
Greensboro, NC 27401
Phone (336) 832-3150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89133W4 | Medicaid | NC | |
| 9700370 | Other | NC | NC LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cprose14425@direct.conehealth.com | Direct |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9700370 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689678047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E WENDOVER AVE",
"address_2": "STE 400",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27401",
"telephone_number": "336-832-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E WENDOVER AVE",
"address_2": "STE 400",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011230",
"telephone_number": "336-832-3150",
"fax_number": "336-832-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSE",
"first_name": "CLAUDIA",
"middle_name": "CHANLETT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2023-03-07",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9700370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89133W4",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE",
"identifier": "9700370",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cprose14425@direct.conehealth.com",
"affiliation": "N",
"endpointDescription": "Cone Health Direct Message",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "301 E Wendover Ave",
"address_2": "Ste 400",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274011230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.