Active NPI
Natalie Prodanovich, RD/RDN, LD/LDN
- Registered Dietitian
- Germantown, TN
National Provider Identifier
1366232472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 7691 Poplar Ave
Germantown, TN 38138-3904 - Phone
- (901) 516-6758
- NPI assigned
- May 12, 2025
- Last updated
- May 12, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
7691 Poplar Ave
Germantown, TN 38138-3904
Mailing address
8934 Green Leaves Dr
Germantown, TN 38139-3446
Phone (901) 848-8433
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1366232472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8934 GREEN LEAVES DR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381393446",
"telephone_number": "901-848-8433",
"fax_number": "901-848-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7691 POPLAR AVE",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383904",
"telephone_number": "901-516-6758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRODANOVICH",
"first_name": "NATALIE",
"credential": "RD/RDN, LD/LDN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-12",
"last_updated": "2025-05-12",
"certification_date": "2025-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.