Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174781967 Individual Practitioner Female Practitioner

Kelli Frederick , RD

Dietitian, Registered • Spokane Valley, WA

Professional Overview & Biography Verified Profile Summary

Kelli Frederick, RD is a registered healthcare professional specializing in Dietitian, Registered in Spokane Valley, WA. Practice services are available at 11703 E SPRAGUE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11703 E Sprague Ave
Bldg C-3

Spokane Valley, WA 992066128

Telephone 5099216560
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Spokane Valley, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
34 Specialists

Practicing in Spokane Valley, WA (2154 Statewide)

Telehealth Adoption Rate
0.0% 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

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI00001335

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

Medicaid State Provider ID
9051731 (WA)
Commercial Insurance / Payer ID Wa Certification Number
DI00001335 (WA)
Commercial Insurance / Payer ID Provider Number
8293979 (WA)
Commercial Insurance / Payer ID Ada Number
887397 (WA)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Annie Frederick , RDT

Dietitian, Registered

NPI 1205093911
Sophia Bosse , RD, CD

Dietitian, Registered

NPI 1366996167

Registered Dietitian, CD

NPI 1386160422

Doctor of Pharmacy (Pharm.D.)

Annette Pederson , RD

Dietitian, Registered

NPI 1396906434

Registered Dietitian

Stacy Lueck , RD

Dietitian, Registered

NPI 1467613661

Registered Dietitian

Beth Davis , RD

Dietitian, Registered

NPI 1528230356

Registered Dietitian

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2008

Registered at 11703 E SPRAGUE AVE, BLDG C-3, SPOKANE VALLEY, WA 992066128 (Tel: 5099216560)

📍
Updated Business Mailing Address May 28, 2008

Registered at 909 W WOODWAY AVE, SPOKANE, WA 992182663 (Tel: 5099216560)

👤
Provider Name / Credentials Updated May 28, 2008

Recorded as KELLI FREDERICK, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2008

Dietitian, Registered (License #DI00001335 in WA)

🟢
Initial NPI Registration & Enumeration May 28, 2008

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: 1174781967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2008
Last Update: May 28, 2008
Sole Proprietor: No

Mailing Address

909 W Woodway Ave

Spokane, WA 992182663

Phone: 5099216560

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.