Organization
NORTH STAR NUTRITION COUNSELING , LLC
Active
Other names
North Star Nutrition Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MATAVULI REGISTERED DIETITIAN (OWNER)
(812) 318-0445
Entity
Organization
Contact information
Practice address
101 W KIRKWOOD AVE STE 213, BLOOMINGTON, IN 47404-6134
(123) 180-4458
Mailing address
3403 N JINNI LYNN CT, BLOOMINGTON, IN 47404-1181
(812) 318-0445
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up