CRYSTAL LYNN FREDERICK RD
NPI 1255112678
Dietitian, Registered in Oklahoma City, OK

Q: What is Crystal Frederick's NPI number?

The NPI number for Crystal Frederick is 1255112678. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Q: What is Crystal Frederick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crystal Frederick was last updated on October 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 11, 2023

5208 W RENO AVE, OKLAHOMA CITY, OK 73127(405) 948-4900(405) 948-4933 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Crystal Lynn Frederick Rd NPPES

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

CRYSTAL LYNN FREDERICK RD (NPI 1255112678) is an individual dietitian, registered in Oklahoma City, Oklahoma and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1255112678

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameCRYSTAL LYNN FREDERICKCredential: RD

Location Address5208 W RENO AVEOklahoma City, OK 73127-6344

Mailing Address4913 W Reno AveOklahoma City, OK 73127-6339 · (405) 948-4900 · Fax (405) 948-4933

Phone(405) 948-4900

Fax(405) 948-4933

Sole ProprietorNo

Enumeration DateOctober 11, 2023

NPPES CertifiedOctober 11, 2023

✔ NPI 1255112678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

5208 W RENO AVE, Oklahoma City, OK 73127

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Other Providers at the Same Location NPPES 20

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

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