Individual provider Active NPI

Natalie Eatedali, MS, RD, CDN

  • Registered Dietitian
  • Potomac, MD
National Provider Identifier
1114154689
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4006 Issued in MD
Practice address
9205 Mistwood Dr
Potomac, MD 20854-2883
Phone
(202) 681-6126
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 948784 NY
Registered Dietitian 133V00000X DX4006 MD Primary

Addresses

Primary practice location

9205 Mistwood Dr
Potomac, MD 20854-2883

Mailing address

9205 Mistwood Dr
Potomac, MD 20854-2883
Phone (202) 681-6126

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

LicenseStateTypeSpecialty
DX4006MDMDRegistered Dietitian
948784NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1114154689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 MISTWOOD DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542883",
            "telephone_number": "202-681-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 MISTWOOD DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542883",
            "telephone_number": "202-681-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATEDALI",
        "first_name": "NATALIE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "948784",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.