IndividualActive
Angie Frederic, RD, LD, CDE
NPI 1629155080 · Registered Dietitian · Lebanon, OR
Angie Frederic, RD, LD, CDE is a Registered Dietitian provider in Lebanon, OR (NPI 1629155080).
Provider details
- NPI number
- 1629155080
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 593 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone: (541) 451-7197
Fax: (541) 451-6304
Street-level locationGet directions
Mailing address
213 Violet St
Lebanon, OR 97355-1570
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-09
Frequently asked questions
- What is Angie Frederic's NPI number?
- Angie Frederic's National Provider Identifier (NPI) is 1629155080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angie Frederic's specialty?
- Angie Frederic is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Angie Frederic located?
- Angie Frederic's practice location on file with NPPES is 525 N Santiam Hwy, Lebanon, OR 97355-4363.
- What is Angie Frederic's phone number?
- The practice phone number listed in the NPPES registry for Angie Frederic is (541) 451-7197.
- Is Angie Frederic's NPI active?
- Yes — Angie Frederic's NPI (1629155080) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.