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Celina Raquel Frederick , RDN, LD

Dietitian, Registered β€’ Austin, TX

Active NPI 1710522453 Individual Practitioner Female Practitioner
Practice location in NPPES

3724 Jefferson St Ste 104
Austin, TX 787316204

Call 3305501120 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3724 Jefferson St Ste 104

Austin, TX 787316204

Telephone 3305501120
Organization at the Same NPPES Address or Phone
Nourish, Inc. Facility NPI 1558097824

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Austin and Texas

1,048 active clinicians are listed under Dietitian, Registered with a practice address in Austin, TX (5,100 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

3% of these 1,048 clinicians have the CMS telehealth indicator.

6.4% of these 1,048 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-15
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES OH 08955

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Licensed Dietitian
08955 (OH)
Other Identifier Registered Dietitian
86117372
Other Identifier Licensed Dietitian
14146 (FL)
Other Identifier Licensed Dietitian- State Of Montana
158073 (MT)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1912682758

Registered Dietitian Nutritionist, CDN, CNSC

Jillian Sampaio , RD

Dietitian, Registered

NPI 1942064308

Registered Dietitian

Brenda Yohn , RD, LDN

Dietitian, Registered

NPI 1649678509

Registered Dietitian, Licensed Dietitian Nutritionist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 15, 2025

Registered at 3724 JEFFERSON ST STE 104, AUSTIN, TX 787316204 (Tel: 3305501120)

πŸ“
Updated Business Mailing Address April 15, 2025

Registered at 3031 9TH ST, CUYAHOGA FALLS, OH 442211627 (Tel: 3305501120)

πŸ“
Updated Practice Location March 29, 2024

Registered at 3401 ENTERPRISE PKWY, BEACHWOOD, OH 441227341 (Tel: 2167650500)

πŸ“
Updated Business Mailing Address March 29, 2024

Registered at 3760 WYNDHAM RIDGE DR APT 103, STOW, OH 442246150 (Tel: 3305501120)

πŸ‘€
Provider Name / Credentials Updated March 29, 2024

Recorded as CELINA FREDERICK, RDN, LD

βœ…
NPI Profile Active November 15, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 15, 2019

Registered at 2141 OVERLOOK RD, CLEVELAND HEIGHTS, OH 441065995 (Tel: 8669163280)

πŸ“
Business Mailing Address (Initial Record) November 15, 2019

Registered at 1120 PARKVIEW AVE, MC DONALD, OH 444371661 (Tel: 3305501120)

πŸ‘€
Provider Name / Credentials (Initial Record) November 15, 2019

Recorded as CELINA VIDMAN, RDN, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2019

Dietitian, Registered (license number reported to NPPES: OH 08955)

🟒
Initial NPI Registration & Enumeration November 15, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710522453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2019
Last Update: April 15, 2025
Sole Proprietor: No

Other Dietitian, Registereds in Austin

All Dietitian, Registereds in Austin

Mailing Address

3031 9th St

Cuyahoga Falls, OH 442211627

Phone: 3305501120

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.