Casey L. Frederick, RDN, LD
NPI 1063203271ActiveIndividual· Dietitian, Registered· Broomfield, CO
Dietitian, Registered (RDN, LD) in Broomfield, Colorado, licensed in CO, with an NPI issued in May 2025. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional and practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1063203271 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN, LD |
| Sole proprietor | Yes |
| NPI issued | May 15, 2025 |
| Last updated in NPPES | May 15, 2025 |
| Certified by provider | May 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86168424 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (OR); Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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