Individual provider Active NPI

Natalie Renee Larsen, RDN, LDN

  • Registered Dietitian
  • Lisle, IL
National Provider Identifier
1790548899
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.010088 Issued in IL
Practice address
650 Warrenville Rd Ste 100
Lisle, IL 60532-4315
Phone
(847) 318-3013
Fax
(833) 290-5413
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 5343-29 WI
Registered Dietitian 133V00000X 164.010088 IL Primary
Registered Dietitian 133V00000X 86359191 AZ
Registered Dietitian 133V00000X DT90573 TX
Registered Dietitian 133V00000X 86359191 CO
Registered Dietitian 133V00000X 86359191 VA
Registered Dietitian 133V00000X 86359191 MI
Registered Dietitian 133V00000X 86359191 NJ

Addresses

Primary practice location

650 Warrenville Rd Ste 100
Lisle, IL 60532-4315

Mailing address

17060 Dallas Pkwy Ste 112
Dallas, TX 75248-1905
Phone (469) 372-2022

Other practice location 1

800 Kinderkamack Rd Ofc 121
Oradell, NJ 07649-1534
Phone (347) 252-9771

Other practice location 2

2311 Wilson Blvd Fl 3
Arlington, VA 22201-5436
Phone (804) 571-2336

Other practice location 3

5605 N MacArthur Blvd
Irving, TX 75038-2422
Phone (972) 460-0910 ext. 53559

Other practice location 4

2311 Wilson Blvd Fl 3
Arlington, VA 22201-5436
Phone (804) 571-2336

Other practice location 5

2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Phone (480) 878-7843

Other practice location 6

1125 17th St Ste 1000
Denver, CO 80202-2043
Phone (720) 204-5760 ext. 89230

Other practice location 7

8741 S Greenwood Ave Ste 106-108
Chicago, IL 60619-7061
Phone (773) 920-2755

Other practice location 8

30700 Telegraph Rd Ste 15401
Bingham Farms, MI 48025-4524
Phone (313) 631-7878

Other practice location 9

708 Main St Fl 10
Houston, TX 77002-3246
Phone (972) 460-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, DC, NJ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20260403000213 MI Practitioner - Registered Dietitian Or Nutrition Professional 8325569452 Reassigns benefits to 2 organizations
I20260407002017 WI Practitioner - Registered Dietitian Or Nutrition Professional 8325569452 Reassigns benefits to 1 organization
I20260412000030 DC Practitioner - Registered Dietitian Or Nutrition Professional 8325569452 Reassigns benefits to 1 organization
I20260412000069 NJ Practitioner - Registered Dietitian Or Nutrition Professional 8325569452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1125 17TH St
Suite 1000
Denver, CO 80202-2043

1125 17TH St
Suite 1000
Denver, CO 80202-2092

3401 Callum Dr Apt
Suite 13441
Fort Worth, TX 76177-1761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86359191AZMDRegistered Dietitian
86359191COMDRegistered Dietitian
164.010088ILMDRegistered Dietitian
86359191MIMDRegistered Dietitian
86359191NJMDRegistered Dietitian
DT90573TXMDRegistered Dietitian
86359191VAMDRegistered Dietitian
5343-29WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Health NJ, LLC CurrentSince Apr 13, 2026 Accepting new patients
Integrated Patient Solutions Mid-Atlantic, PC CurrentSince Apr 13, 2026 Accepting new patients
Doherty Nutrition LLC Dietitian, Registered CurrentSince Dec 29, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1125 17th St
Ste 1000
Denver, CO 80202
Phone (855) 962-4638

650 Warrenville Rd
Ste 100
Lisle, IL 60532
Phone (331) 300-3102

800 Kinderkamack Rd
Ofc 121
Oradell, NJ 07649
Phone (347) 252-9771

17060 Dallas Pkwy
Ste 112
Dallas, TX 75248
Phone (469) 372-2022

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1790548899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17060 DALLAS PKWY STE 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481905",
            "telephone_number": "469-372-2022",
            "fax_number": "833-290-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WARRENVILLE RD STE 100",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324315",
            "telephone_number": "847-318-3013",
            "fax_number": "833-290-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Kinderkamack Rd Ofc 121",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491534",
            "country_code": "US",
            "telephone_number": "347-252-9771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Wilson Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015436",
            "country_code": "US",
            "telephone_number": "804-571-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5605 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382422",
            "country_code": "US",
            "telephone_number": "972-460-0910 x53559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Wilson Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015436",
            "country_code": "US",
            "telephone_number": "804-571-2336",
            "fax_number": "844-881-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 E Camelback Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164245",
            "country_code": "US",
            "telephone_number": "480-878-7843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 17th St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022043",
            "country_code": "US",
            "telephone_number": "720-204-5760 x89230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8741 S Greenwood Ave Ste 106-108",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197061",
            "country_code": "US",
            "telephone_number": "773-920-2755",
            "fax_number": "630-317-7579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30700 Telegraph Rd Ste 15401",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254524",
            "country_code": "US",
            "telephone_number": "313-631-7878",
            "fax_number": "866-516-0753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 Main St Fl 10",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770023246",
            "country_code": "US",
            "telephone_number": "972-460-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "NATALIE",
        "middle_name": "RENEE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "5343-29",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.010088",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86359191",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT90573",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86359191",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86359191",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86359191",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86359191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.