MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) – Registered Dietitian, NPI 1003191735

Registered Dietitian

MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) is a healthcare provider. based in Longview, Texas. specializing in Registered Dietitian. They hold the professional credentials MS, RD, LD. They hold a License No. DT82118 (TX). The NPI Number for MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) is 1003191735

Main info

Female

Name

MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD)

NPI

1003191735

Phone

(903) 323-6541

Address

3133 GOOD SHEPHERD WAY

Enumeration Date

13 October 2011

Last Update Date

31 July 2013

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD)

3133 GOOD SHEPHERD WAY
LONGVIEW, TX 756057921
Phone: (903) 323-6541
Fax: (903) 323-6564
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75605)

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Reviews

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Frequently asked questions

How is MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) identified in CMS data?

CMS-hosted NPPES data lists MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) with NPI 1003191735.

Does the file indicate MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) is practicing under active NPI?

Directory data currently reports MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) as active.

What is MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) best known for clinically?

Directory data describes MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD) with Registered Dietitian. Clinical services aligned with this taxonomy classification.

What address line appears for MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD)?

MRS. KRISTEL JUNE FREDERICKS (MS, RD, LD)'s geographic hint is Longview, Texas in our summary view.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.