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Active NPI 1003191735 Individual Practitioner Female Practitioner

Kristel June Fredericks , MS, RD, LD

Dietitian, Registered • Longview, TX

Professional Overview & Biography Verified Profile Summary

Kristel Fredericks, MS, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Longview, TX. Practice services are available at 3133 GOOD SHEPHERD WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3133 Good Shepherd Way

Longview, TX 756057921

Telephone 9033236541
Fax 9033236564

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.3 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
15 Specialists

Practicing in Longview, TX (5148 Statewide)

Telehealth Adoption Rate
6.7% 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

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT82118

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Stephanie Hale , OTR

Occupational Therapist

NPI 1033379185

Occupational Therapist Registered

Doug Bloyd

Specialist/Technologist - Athletic Trainer

NPI 1114243037
Myra Echave , PT

Physical Therapist

NPI 1265738579

Physical Therapist

NPI 1336445600

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2013

Registered at 3133 GOOD SHEPHERD WAY, LONGVIEW, TX 756057921 (Tel: 9033236541)

📍
Updated Business Mailing Address July 31, 2013

Registered at 3133 GOOD SHEPHERD WAY, LONGVIEW, TX 756057921 (Tel: 9033236541)

👤
Provider Name / Credentials Updated July 31, 2013

Recorded as KRISTEL FREDERICKS, MS, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Dietitian, Registered (License #DT82118 in TX)

🟢
Initial NPI Registration & Enumeration October 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003191735
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2011
Last Update: July 31, 2013
Sole Proprietor: No

Mailing Address

3133 Good Shepherd Way

Longview, TX 756057921

Phone: 9033236541

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.