ANNIE FREDERICK (NPI# 1205093911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205093911 |
| Entity Type | Individual |
| Full Name | ANNIE FREDERICK |
| Credential | RDT |
| Practice Address |
11703 E Sprague Ave Ste C3 Spokane Valley WA 99206-6129 |
| Mailing Address |
Po Box 1576 Newport WA 99156-1576 |
| Practice Telephone | 5099216560 |
| Mailing Telephone | 5099216560 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI00000556 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ADA NUMBER | 00719636 | 01 |
| WA | PROVIDER NUMBER | 8260051 | 01 |
| WA | 9051731 | 05 | |
| WA | WA CERTIFICATION NUMBER | DI00000556 | 01 |
| Street Address |
11703 E SPRAGUE AVE STE C3 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99206-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629089362 | Preferred Homecare Infusion LLC | Durable Medical Equipment & Medical Supplies | 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206 | 2006-08-10 |
| 1386160422 | Jeffry David Crouch | Pharmacist | 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129 | 2017-08-21 |
| 1396906434 | Annette Pederson | Dietitian, Registered | 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129 | 2008-06-20 |
| 1467613661 | Stacy Lueck | Dietitian, Registered | 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129 | 2008-06-19 |
| 1164680849 | Lisa M Grentz | Dietitian, Registered | 11703 E Sprague Ave Ste C3, Attn: Vienna Stewart, Spokane Valley, WA 99206-6129 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913495 | Ea Healing Arts LLC | Acupuncturist | 210 N University Rd, Ste 200, Spokane Valley, WA 99206 | 2020-05-16 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1477027092 | Hunter Badgley | Counselor | 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 | 2019-01-16 |
| 1851880934 | Ryan Bushman | Dentist | 919 N Pines Rd, Spokane Valley, WA 99206 | 2018-05-04 |
| 1902307531 | Lois Jensen | Counselor | 3507 S. Spotted Rd., Spokane, WA 99206 | 2018-02-28 |
| 1295258804 | Melissa Ann Reamer | Speech-Language Pathologist | 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 | 2017-07-25 |
| 1730619149 | Amanda Kathryn Fuchs | Counselor | 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 | 2017-06-18 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1427405893 | Sarah Winn | Counselor | 721 N Pines, Spokane Valley, WA 99206 | 2016-05-16 |
| 1134573199 | Elzbieta H Anderson | Acupuncturist | 210 N University Rd Ste 200, Spokane Valley, WA 99206 | 2016-04-15 |
| Find all providers in zip 99206 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342151 | Heather Lea Watkins | Dietitian, Registered | 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206-4777 | 2019-02-11 |
| 1700120193 | Jessica Beth Berghoff | Dietitian, Registered | 10102 E 17th Ln, Spokane Valley, WA 99206-3427 | 2012-11-26 |
| 1598905663 | Spokane Valley Washington Hospital Company LLC | Dietitian, Registered | 12606 East Mission Ave, Spokane Valley, WA 99216-3421 | 2009-03-02 |
| 1528230356 | Beth Frances Davis | Dietitian, Registered | 11703 E Sprague Ave, Bldg C-3, Spokane Valley, WA 99206-6128 | 2008-04-01 |
| 1376165860 | Emory Kennedy-pearson Finley | Dietitian, Registered | 10807 E Montgomery Dr, Spokane Valley, WA 99206-4777 | 2020-05-07 |
| 1962023721 | Brajee Green | Dietitian, Registered | 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206-4777 | 2020-05-04 |
| 1841833290 | Nicholas Allen Wood | Dietitian, Registered | 10807 E Montgomery Dr, Spokane Valley, WA 99206-4777 | 2019-10-17 |
| 1649833708 | Catherine Mulligan Nilles | Dietitian, Registered | 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206-4777 | 2019-04-15 |
| 1013473230 | Dana Sitts | Dietitian, Registered | 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206-4777 | 2019-02-12 |
| 1104302736 | Keisha Engley | Dietitian, Registered | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 | 2018-07-17 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99206 |
Please comment or provide details below to improve the information on ANNIE FREDERICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.