MRS. JULIE R DOSTAL


Address: 2401 E Washington St, Ste 300c, Bloomington, IL 61704-4480
Phone: 3098300711

MRS. JULIE R DOSTAL (NPI# 1154378826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154378826
Entity Type Individual
Full Name MRS. JULIE R DOSTAL
Credential RD,CDE
Practice Address 2401 E Washington St
Ste 300c
Bloomington
IL 61704-4480
Mailing Address 2401 E Washington St
# 300c
Bloomington
IL 61704-4480
Practice Telephone 3098300711
Practice Fax Number 8665923004
Mailing Telephone 3098300711
Mailing Fax Number 3096632310
Enumeration Date 2006-05-28
Last Update Date 2016-12-06
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 164.001279 IL Dietary & Nutritional Service Providers

Other Providers JULIE DOSTAL

NPI Name Taxonomy Address Enumeration
1629000781 Julie Dostal Family Medicine 1730 W Chew St, Allentown, PA 18104-5549 2006-07-07

Office Location

Street Address 2401 E WASHINGTON ST
STE 300C
City BLOOMINGTON
State IL
Zip Code 61704-4480

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NPI Name Taxonomy Address Enumeration
1063775856 Janell Diane Mosbach Massage Therapist 2401 E Washington St, Bloomington, IL 61704-4480 2012-06-18

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194330860 Kari Houge Dietitian, Registered 8960 York Rd S, Bloomington, MN 55431-1819 2020-09-10
1477167153 Kayla E King Dietitian, Registered 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 2020-09-01
1164058392 Hei Jessie Wong Dietitian, Registered 929 S Fenbrook Ct, Bloomington, IN 47401-4814 2020-03-19
1093289639 Hannah Vaughan Dietitian, Registered 4101 E Morningside Dr, Bloomington, IN 47408-3146 2019-01-16
1508348228 Javier Sandoval Jr. Dietitian, Registered 516 S Linden Ave, Bloomington, CA 92316-1221 2018-08-29
1164976007 Rachel Noirot Dietitian, Registered 801 N Jordan Ave, Bloomington, IN 47405-2107 2016-08-09
1396141859 Ellen Roth Dietitian, Registered 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 2014-11-11
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1710397278 Randi Gibbs Dietitian, Registered 8040 Old Cedar Ave S, Bloomington, MN 55425-1234 2014-05-05
1558697326 Food Stuff, Inc. Dietitian, Registered 10338 N 1750 East Rd, Bloomington, IL 61705-5950 2009-10-28
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Competitor

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City BLOOMINGTON
Zip Code 61704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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