Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Annie Frederick, RDT

Individual provider Registered Dietitian · NPI 1205093911

Annie Frederick, RDT is registered under Registered Dietitian OR Nutrition Professional in Spokane Valley, Washington. Qualified in 1990, 36 years ago. Practices with Kalispel Indian Community of the Kalispel Reservation Washington, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
36
Licensed in
WA
In the registry since
2008
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11703 E Sprague Ave Ste C3
Spokane Valley, WA 99206-6129 Not confirmed with CMS for 18 years — call before visiting
Phone: (509) 921-6560
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI00000556 (WA)

Record details

NPI number1205093911
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDT
Sole proprietorNo
NPI enumeratedMay 20, 2008
Last updated in NPPESMay 20, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Kalispel Indian Community Of The Kalispel Reservation Washington — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Kalispel Indian Community of the Kalispel Reservation Washington

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Spokane Valley