Mrs Kristel June Fredericks, MS, RD, LD - Dietitian in Longview, TX

Mrs Kristel June Fredericks, MS, RD, LD is a Dietitian, Registered based in Longview, Texas. Mrs Kristel June Fredericks is licensed to practice in Texas (license number DT82118) and her current practice location is 3133 Good Shepherd Way, Longview, Texas. She can be reached at her office (for appointments etc.) via phone at (903) 323-6541.

NPI number for Mrs Kristel June Fredericks is 1003191735 and her current mailing address is 3133 Good Shepherd Way, Longview, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003191735.

Contact Information

Mrs Kristel June Fredericks, MS, RD, LD
3133 Good Shepherd Way,
Longview, TX 75605-7921
(903) 323-6541
(903) 323-6564

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kristel June Fredericks
GenderFemale
SpecialityDietitian, Registered
Location3133 Good Shepherd Way, Longview, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003191735
  • Provider Enumeration Date: 10/13/2011
  • Last Update Date: 07/31/2013

Medical Identifiers

Medical identifiers for Mrs Kristel June Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003191735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DT82118 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristel June Fredericks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kristel June Fredericks, MS, RD, LD
3133 Good Shepherd Way,
Longview, TX 75605-7921

Ph: (903) 323-6541
Mrs Kristel June Fredericks, MS, RD, LD
3133 Good Shepherd Way,
Longview, TX 75605-7921

Ph: (903) 323-6541

Reviews and Comments


Dietitian, Registered in Longview, TX

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Practice Location: 2901 N 4th St, Longview, TX 75605
Phone: 903-233-4749    

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