Individual provider Active NPI

Elena Emma Gamonal-Williamson, RDN

  • Registered Dietitian
  • Whitsett, NC
National Provider Identifier
1952169112
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L007646 Issued in NC
Practice address
614 Gantwood LN
Whitsett, NC 27377-9224
Phone
(336) 260-6168
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L007646 NC Primary

Addresses

Primary practice location

614 Gantwood LN
Whitsett, NC 27377-9224

Mailing address

614 Gantwood LN
Whitsett, NC 27377-9224
Phone (336) 260-6168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001591 NC Practitioner - Registered Dietitian Or Nutrition Professional 4688108178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince Jun 8, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Neurosurgical Associates of the PastSince Nov 1, 2004 Accepting new patients

Locations

6371 Jessie Ln
Ste 205
Clemmons, NC 27012

6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

501 N Main St
Salisbury, NC 28144
Phone (980) 330-6808

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323

2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1952169112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 GANTWOOD LN",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779224",
            "telephone_number": "336-260-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GANTWOOD LN",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779224",
            "telephone_number": "336-260-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMONAL-WILLIAMSON",
        "first_name": "ELENA",
        "middle_name": "EMMA",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitsett, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.