Active NPI
Kristin Sladek, MS, RDN, LDN
- Registered Dietitian
- Long Grove, IL
National Provider Identifier
1548156763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.003041
- Practice address
- 1517 Sumter Dr
Long Grove, IL 60047-5156 - Phone
- (224) 212-9127
- NPI assigned
- Jun 16, 2025
- 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 | 164.003041 | IL | Primary |
Addresses
Primary practice location
1517 Sumter Dr
Long Grove, IL 60047-5156
Mailing address
1517 Sumter Dr
Long Grove, IL 60047-5156
Phone (224) 212-9127
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.003041 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1548156763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 SUMTER DR",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600475156",
"telephone_number": "224-212-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 SUMTER DR",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600475156",
"telephone_number": "224-212-9127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLADEK",
"first_name": "KRISTIN",
"name_prefix": "Mrs.",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.003041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.