Jennifer Stotlar, ND, CNS, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164009487 Issued in IL

Practice address

1135 McHenry Rd
Buffalo Grove, IL 60089-1369

Phone

(847) 748-0414

Fax

(847) 748-0412

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

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.

• Nourisherpa LLC

  • Health Service Clinic/Center
  • Buffalo Grove, IL
  • NPI 1134999337
  NPD Authorized official

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1982473187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20745 N MEADOWS CT",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600477829",
            "telephone_number": "847-902-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MCHENRY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891369",
            "telephone_number": "847-748-0414",
            "fax_number": "847-748-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTLAR",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "ND, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164009487",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0134239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Ciolino P.C.
• Katherine Elizabeth Stevens, PH.D.
• Scott Stolarick, LCPC
• Alex Zachary Stoller, MS, RDN
• Kelly Stone, AT
• Ryan Stover, PT, MPT, CSCS
• Alex Striltschuk, DDS
• Thomas Morgan Sullivan, ATC
• Sunrise Buffalo Gove Assisted Living, LL
• Superior Dental, LTD.

• Registered Dietitian in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.