Annie Frederick, RDT
NPI 1205093911ActiveIndividual· Dietitian, Registered· Spokane Valley, WA
Dietitian, Registered (RDT) with Kalispel Indian Community of the Kalispel Reservation Washington, practicing in Spokane Valley, Washington. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1205093911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDT |
| Sole proprietor | No |
| NPI issued | May 20, 2008 |
| Last updated in NPPES | May 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DI00000556 | WA |
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 (WA) |
|---|
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Kalispel Indian Community of the Kalispel Reservation WashingtonCusick, WA · 12 clinicians
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All 38 registered dietitians in Spokane Valley · All registered dietitians in Washington