KELLI FREDERICK RD NPI 1174781967

NPI Information

  • NPI: 1174781967
  • Provider Name: KELLI FREDERICK, RD
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 11703 E SPRAGUE AVE
    BLDG C-3
    SPOKANE VALLEY, WA
    ZIP 99206
  • Phone: (509) 921-6560

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NPI Details

Kelli Frederick, RD is a dietitian registered in Spokane Valley, WA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Kelli Frederick, RD NPI is 1174781967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11703 E SPRAGUE AVE
BLDG C-3
SPOKANE VALLEY, WA
ZIP 99206-128
Phone: (509) 921-6560

The enumeration date for this NPI number is 5/28/2008 and was last updated on 5/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredDI00001335WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18293979OTHERWASHINGTONPROVIDER NUMBER
25068000007MEDICARE NSCWASHINGTON
3887397OTHERWASHINGTONADA NUMBER
49051731MEDICAIDWASHINGTON
5DI00001335OTHERWASHINGTONWA CERTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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