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

Casey L Frederick, RDN, LD

Individual provider Registered Dietitian · NPI 1063203271

Casey L Frederick, RDN, LD is a Registered Dietitian OR Nutrition Professional in Broomfield, Colorado. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

13630 Via Varra Apt 223
Broomfield, CO 80020-9709
Phone: (812) 582-1093
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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 86168424 (CO)

Record details

NPI number1063203271
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LD
Sole proprietorYes
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address13630 Via Varra Apt 223, Broomfield, CO 80020-9709

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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