Active NPI
Julie R Dostal, RD,CDE
- Registered Dietitian
- Bloomington, IL
National Provider Identifier
1154378826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.001279
- Practice address
- 2401 E Washington St
Ste 300C
Bloomington, IL 61704-4480 - Phone
- (309) 830-0711
- Fax
- (866) 592-3004
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.001279 | IL | Primary |
Addresses
Primary practice location
2401 E Washington St
Ste 300C
Bloomington, IL 61704-4480
Mailing address
2401 E Washington St
# 300C
Bloomington, IL 61704-4480
Phone (309) 830-0711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.001279 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154378826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 E WASHINGTON ST",
"address_2": "# 300C",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044480",
"telephone_number": "309-830-0711",
"fax_number": "309-663-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E WASHINGTON ST",
"address_2": "STE 300C",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044480",
"telephone_number": "309-830-0711",
"fax_number": "866-592-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSTAL",
"first_name": "JULIE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "RD,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.001279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.