Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710522453 Individual Practitioner Female Practitioner

Celina Raquel Frederick , RDN, LD

Dietitian, Registered • Austin, TX

Professional Overview & Biography Verified Profile Summary

Celina Frederick, RDN, LD is a registered healthcare professional specializing in Dietitian, Registered in Austin, TX. Practice services are available at 3724 JEFFERSON ST STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3724 Jefferson St Ste 104

Austin, TX 787316204

Telephone 3305501120
Associated Practice Facility / Clinic
🏢 Nourish, Inc. Facility NPI 1558097824

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
1050 Specialists

Practicing in Austin, TX (5148 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-15
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OH 08955

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Dietitian
08955 (OH)
Commercial Insurance / Payer ID Registered Dietitian
86117372
Commercial Insurance / Payer ID Licensed Dietitian
14146 (FL)
Commercial Insurance / Payer ID Licensed Dietitian- State Of Montana
158073 (MT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003513631

MDN, Registered Dietitian, Licensed Dietitian Nutritionist

Naomi Oetken , RDN

Dietitian, Registered

NPI 1003739640

Registered Dietitian Nutritionist

Abbygail Franklin

Dietitian, Registered

NPI 1003747452
Lauren Incarnato

Dietitian, Registered

NPI 1003754953
Dana Arburr , RD

Dietitian, Registered

NPI 1003767328

Registered Dietitian

Bailie Gardner

Dietitian, Registered

NPI 1003769126

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 15, 2025

Registered at 3724 JEFFERSON ST STE 104, AUSTIN, TX 787316204 (Tel: 3305501120)

📍
Updated Business Mailing Address April 15, 2025

Registered at 3031 9TH ST, CUYAHOGA FALLS, OH 442211627 (Tel: 3305501120)

📍
Updated Practice Location March 29, 2024

Registered at 3401 ENTERPRISE PKWY, BEACHWOOD, OH 441227341 (Tel: 2167650500)

📍
Updated Business Mailing Address March 29, 2024

Registered at 3760 WYNDHAM RIDGE DR APT 103, STOW, OH 442246150 (Tel: 3305501120)

👤
Provider Name / Credentials Updated March 29, 2024

Recorded as CELINA FREDERICK, RDN, LD

NPI Profile Active November 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2019

Registered at 2141 OVERLOOK RD, CLEVELAND HEIGHTS, OH 441065995 (Tel: 8669163280)

📍
Updated Business Mailing Address November 15, 2019

Registered at 1120 PARKVIEW AVE, MC DONALD, OH 444371661 (Tel: 3305501120)

👤
Provider Name / Credentials Updated November 15, 2019

Recorded as CELINA VIDMAN, RDN, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2019

Dietitian, Registered (License #08955 in OH)

🟢
Initial NPI Registration & Enumeration November 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710522453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2019
Last Update: April 15, 2025
Sole Proprietor: No

Mailing Address

3031 9th St

Cuyahoga Falls, OH 442211627

Phone: 3305501120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.