MRS. KRISTEL JUNE FREDERICKS MS, RD, LD
NPI 1003191735
Dietitian, Registered in Longview, TX

Q: What is Kristel Fredericks's NPI number?

The NPI number for Kristel Fredericks is 1003191735. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Q: What is Kristel Fredericks's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since October 13, 2011

3133 GOOD SHEPHERD WAY, LONGVIEW, TX 75605(903) 323-6541(903) 323-6564 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kristel June Fredericks Ms, Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTEL JUNE FREDERICKS MS, RD, LD (NPI 1003191735) is an individual dietitian, registered in Longview, Texas, licensed in Texas (DT82118) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1003191735

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. KRISTEL JUNE FREDERICKSCredential: MS, RD, LD

Location Address3133 GOOD SHEPHERD WAYLongview, TX 75605-7921

Mailing Address3133 Good Shepherd WayLongview, TX 75605-7921 · (903) 323-6541 · Fax (903) 323-6564

Phone(903) 323-6541

Fax(903) 323-6564

Sole ProprietorNo

Enumeration DateOctober 13, 2011

Last NPPES UpdateJuly 31, 2013

✔ NPI 1003191735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in TX · DT82118

Definition

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.

3133 GOOD SHEPHERD WAY, Longview, TX 75605

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Other Providers at the Same Location NPPES 13

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