| Celina Raquel Frederick, RDN, LD | |
|
3724 Jefferson St Ste 104, Austin, TX 78731-6204 | |
| (330) 550-1120 | |
| Not Available |
| Full Name | Celina Raquel Frederick |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3724 Jefferson St Ste 104, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710522453 | NPI | - | NPPES |
| 08955 | Other | OH | LICENSED DIETITIAN |
| 86117372 | Other | REGISTERED DIETITIAN | |
| 14146 | Other | FL | LICENSED DIETITIAN |
| 158073 | Other | MT | LICENSED DIETITIAN- STATE OF MONTANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 08955 (Ohio) | Primary |
| Provider Name | Emily Program P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20210604000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Celina Raquel Frederick, RDN, LD 3031 9th St, Cuyahoga Falls, OH 44221-1627 Ph: (330) 550-1120 | Celina Raquel Frederick, RDN, LD 3724 Jefferson St Ste 104, Austin, TX 78731-6204 Ph: (330) 550-1120 |
Adriana Krueger, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12209 Alcanza Dr, Austin, TX 78739 Phone: 512-550-4849 | |
Kimberley Bandelier, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St, Suite 104, Austin, TX 78731 Phone: 512-693-7045 | |
Gabrielle Palmeri, MDN, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 412-692-7699 | |
Dr. Michaela Slatniske, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2105 East Mlk Blvd, #111, Austin, TX 78702 Phone: 512-309-1650 | |
Chelsea Davidson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2208 E 14th St, Austin, TX 78702 Phone: 410-236-1181 | |
Claire Hafner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-544-4077 | |
Lauren Mcgill, MS, RDN, CSSD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4613 Herzog St, Austin, TX 78723 Phone: 480-600-2021 |