Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Frederick, RDT

Individual provider Registered Dietitian · NPI 1205093911

Annie Frederick, RDT is a 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
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Practice location Address checks out

11703 E Sprague Ave Ste C3
Spokane Valley, WA 99206-6129
Phone: (509) 921-6560
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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
Mailing addressPo Box 1576, Newport, WA 99156-1576

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

Other providers in Spokane Valley