Active NPI
Natalie Eatedali, MS, RD, CDN
- Registered Dietitian
- Potomac, MD
National Provider Identifier
1114154689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX4006
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DX4006 | MD | MD | Registered Dietitian |
| 948784 | NY | MD | Registered 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.