Healthcare Provider Details

I. General information

NPI: 1619821535
Provider Name (Legal Business Name): JULIA SLUIS RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6535 MOSS CREEK CIR
INDIANAPOLIS IN
46237-2900
US

IV. Provider business mailing address

6535 MOSS CREEK CIR
INDIANAPOLIS IN
46237-2900
US

V. Phone/Fax

Practice location:
  • Phone: 978-578-2329
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number37004292A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: