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KELLI FREDERICK RD
NPI 1174781967
Dietitian, Registered in Spokane Valley, WA

Active since May 28, 2008
11703 E SPRAGUE AVE, BLDG C-3, SPOKANE VALLEY, WA 99206(509) 921-6560 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli Frederick Rd NPPES

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

KELLI FREDERICK RD (NPI 1174781967) is an individual dietitian, registered in Spokane Valley, Washington, licensed in Washington (DI00001335) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1174781967
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLI FREDERICKCredential: RD
Location Address11703 E SPRAGUE AVE, BLDG C-3Spokane Valley, WA 99206-6128
Mailing Address909 W Woodway AveSpokane, WA 99218-2663 · (509) 921-6560
Phone(509) 921-6560
Sole ProprietorNo
Enumeration DateMay 28, 2008
✔ NPI 1174781967 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 WA · DI00001335
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.
11703 E SPRAGUE AVE, Spokane Valley, WA 99206
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Other Identifiers 5

Other8293979WA · Provider Number
Medicare NSC5068000007WA
Other887397WA · Ada Number
Medicaid9051731WA
OtherDI00001335WA · Wa Certification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAENA HENSLEY OTR
Occupational Therapist
11703 E SPRAGUE AVE
SPOKANE VALLEY, WA 99206
Spokane County (509) 435-0481
SOPHIA BOSSE RD, CD
Dietitian, Registered
11703 E SPRAGUE AVE
SPOKANE VALLEY, WA 99206
Spokane County (509) 921-6560
BETH FRANCES DAVIS R.D.
Dietitian, Registered
11703 E SPRAGUE AVE, BLDG C-3
SPOKANE VALLEY, WA 99206
Spokane County (509) 921-6560
PREFERRED HOMECARE INFUSION, LLC
Pharmacy (Home Infusion Therapy Pharmacy)
11703 E SPRAGUE AVE, STE. C-3
SPOKANE VALLEY, WA 99206
Spokane County (509) 921-6560
MISS JORDAN ANNE JOHNSON MS, RD, CD
Dietitian, Registered
11703 E SPRAGUE AVE, STE C-3
SPOKANE VALLEY, WA 99206
Spokane County (509) 921-6560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Frederick's NPI number?

The NPI number for Kelli Frederick is 1174781967. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Kelli Frederick located?

Kelli Frederick practices at 11703 E Sprague Ave Bldg C-3, Spokane Valley, WA 99206. The listed phone number is (509) 921-6560.

What is Kelli Frederick's specialty?

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

What insurance does Kelli Frederick accept?

Health plans from Providence Health Plan list Kelli Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelli Frederick was last updated on May 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.