Food Stuff, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.001279 Issued in IL

Legal business name

FOOD STUFF, INC.

Practice address

10338 N 1750 East Rd
Bloomington, IL 61705-5950

Phone

(309) 830-0711

Fax

(866) 592-3004

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Julie R Dostal, MS,RD,CDE

Title

Owner

Phone

(309) 830-0711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1558697326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10338 N 1750 EAST RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617055950",
            "telephone_number": "309-830-0711",
            "fax_number": "866-592-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10338 N 1750 EAST RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617055950",
            "telephone_number": "309-830-0711",
            "fax_number": "866-592-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD STUFF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "DOSTAL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-830-0711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,RD,CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.001279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.