ANNIE FREDERICK RDT
NPI 1205093911
Dietitian, Registered in Spokane Valley, WA
About Annie Frederick Rdt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNIE FREDERICK RDT (NPI 1205093911) is an individual dietitian, registered in Spokane Valley, Washington, licensed in Washington (DI00000556) and active in the NPI registry since May 2008. She is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Annie Frederick Rdt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Annie Frederick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Airway Heights, WA 99001
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Kalispel Indian Community Of The Kalispel Reservation Washington
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPOKANE VALLEY, WA 99206
SPOKANE VALLEY, WA 99206
SPOKANE VALLEY, WA 99206
SPOKANE VALLEY, WA 99206
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 Annie Frederick's NPI number?
The NPI number for Annie Frederick is 1205093911. It was assigned to this individual provider in the NPPES registry on May 20, 2008.
Where is Annie Frederick located?
Annie Frederick practices at 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206. The listed phone number is (509) 921-6560.
What is Annie Frederick's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Annie Frederick enrolled in Medicare?
Yes. Annie Frederick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Annie Frederick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annie Frederick reassigns Medicare benefits to Kalispel Tribe-Camas Institute (Airway Heights, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annie Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annie Frederick accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Annie 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 Annie Frederick was last updated on May 20, 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.
# Annie Frederick, RDT · NPI 1205093911
Dietitian, Registered provider in Spokane Valley, Washington. Individual provider, active in the CMS NPPES registry since May 20, 2008.
## Identity
- **NPI:** 1205093911 (Entity type: Individual)
- **Enumerated:** May 20, 2008
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DI00000556 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 11703 E SPRAGUE AVE STE C3, Spokane Valley, WA 99206-6129
- **Phone:** (509) 921-6560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Kalispel Tribe-Camas Institute (NPI 1518019272, Airway Heights, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** May 20, 2008
- **Other identifiers:** Other 8260051 (WA); Medicare NSC 5068000007 (WA); Other DI00000556 (WA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205093911) · Data from the CMS NPPES public registry.