Kelly Jo Monigold

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-258781 Issued in OH

Practice address

842 Blake Ave SW
New Philadelphia, OH 44663-9338

Phone

(330) 365-0892

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1316528193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 BLAKE AVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639338",
            "telephone_number": "330-365-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 BLAKE AVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639338",
            "telephone_number": "330-365-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIGOLD",
        "first_name": "KELLY",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-258781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephan Millik, PHARMD
• Mirhaidari Family Practice
• Morteza Mirhaidari, DPM, MD
• Harry Joseph Mitzo Jr.
• Cindy Lou Mizer
• Jason Michael Monk
• Jessica Moore
• Nicole Anna Moore
• Tristah Moore, QMHS CMS
• Digna Morales Morales

• Registered Nurse in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.