Evan Kroll J Kroll

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11344 Coloma Rd
Gold River, CA 95670-4457

Phone

(916) 676-0488

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1871203281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704457",
            "telephone_number": "916-676-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704457",
            "telephone_number": "916-676-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "EVAN KROLL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Dianne Kam, O.D.
• Muskan Khalili
• Jamie Kim, DDS, MS
• Unyong Kim, DDS
• Taylor M King
• Corrie Kundert
• Joanna Kwan, MA, LPCC, NCC
• Lyle Lampshire, RPH
• Abievhese Lawani, CPNP-PC
• Palmer N Lee, O.D.

• Behavior Technician in Gold River, CA
• Providers in Gold River, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.