Monika Daniela Gonzalez Kroll, PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0010-09203 Issued in NC

Practice address

512 Waughtown St
Winston Salem, NC 27127-2236

Phone

(336) 512-1172

NPI assigned

Jul 12, 2019

Sex

Female

Sole proprietor

No

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

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11975/brand/1/csg/1/fhir/r4

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.

• Llibott Consultorios Medicos- WS,PLLC

  • Primary Care Clinic/Center
  • Winston Salem, NC
  • NPI 1487030060
  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1629620398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RED SAGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WAUGHTOWN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271272236",
            "telephone_number": "336-512-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ KROLL",
        "first_name": "MONIKA",
        "middle_name": "DANIELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "0010-09203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mutsuko Gonokami-Curia, OTR/L
• Clifford Fontanilla Gonzales, CRNA
• Mary Alice Gonzales, LPCA
• Savannah Rae Gonzales, CCC-SLP
• Stephanie E Gonzales
• Doralis Gonzalez Pelegrin, NP
• Tristan Emil Gonzalez Sanz, M.D.
• Ingrid Gonzalez, M.D.
• Nelitza Delisse Gonzalez, LMFT, LCMHC
• Good Works Home Health, LLC

• Adult Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Adult Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.