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Kristel June Fredericks , MS, RD, LD

Dietitian, Registered • Longview, TX

Active NPI 1003191735 Individual Practitioner Female Practitioner
Practice location in NPPES

3133 Good Shepherd Way
Longview, TX 756057921

Call 9033236541 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

3133 Good Shepherd Way

Longview, TX 756057921

Telephone 9033236541
Fax 9033236564

NPI first issued

2011

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, “Does 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 Longview and Texas

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

6.7% of these 15 clinicians have the CMS telehealth indicator.

20% of these 15 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES TX DT82118

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

Clinicians Sharing This Practice Address or Phone

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

5 listed
Dr. John Evans , DO

Family Medicine - Sports Medicine

NPI 1558989053

Doctor of Osteopathic Medicine (D.O.)

Dr. Britton Plemmons , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1093154189

Doctor of Podiatric Medicine

NPI 1114448495

Physical Therapist, Doctor of Physical Therapy, Orthopedic Clinical Specialist

April Rogers

Nurse Practitioner - Family

NPI 1801373170
Kirby Wilcoxson , FNP

Nurse Practitioner - Family

NPI 1477087575

Family Nurse Practitioner

Career & Practice History

NPI enumerated October 13, 2011.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1003191735
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2011
Last Update: July 31, 2013
Sole Proprietor: No

Mailing Address

3133 Good Shepherd Way

Longview, TX 756057921

Phone: 9033236541

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.