ANNIE FREDERICK RDT NPI 1205093911

NPI Information

  • NPI: 1205093911
  • Provider Name: ANNIE FREDERICK, RDT
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 11703 E SPRAGUE AVE STE C3
    SPOKANE VALLEY, WA
    ZIP 99206
  • Phone: (509) 921-6560

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NPI Details

Annie Frederick, RDT is a dietitian registered in Spokane Valley, WA with 36 years of experience. 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. Annie Frederick, RDT NPI is 1205093911. 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 STE C3
SPOKANE VALLEY, WA
ZIP 99206-129
Phone: (509) 921-6560

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.

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, RegisteredDI00000556WASHINGTONYes

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
18260051OTHERWASHINGTONPROVIDER NUMBER
25068000007MEDICARE NSCWASHINGTON
3DI00000556OTHERWASHINGTONWA CERTIFICATION NUMBER
49051731MEDICAIDWASHINGTON
500719636OTHERWASHINGTONADA 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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