Healthcare Provider Details

I. General information

NPI: 1790644532
Provider Name (Legal Business Name): NATALIE HARRELL MS, RDN, LDN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 01/19/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 PINE GROVE DR
CALHOUN LA
71225-9544
US

IV. Provider business mailing address

163 PINE GROVE DR
CALHOUN LA
71225-9544
US

V. Phone/Fax

Practice location:
  • Phone: 318-372-6529
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3270
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: