Christie Frederickson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R035214 Issued in SD

Practice address

104 N Jackson St
Viborg, SD 57070-2001

Phone

(605) 759-8545

NPI assigned

Nov 21, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1033070693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N JACKSON ST",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570702001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N JACKSON ST",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570702001",
            "telephone_number": "605-759-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKSON",
        "first_name": "CHRISTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R035214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boone Family Chiropractic P.C.
• Linda Cabalka, PTA
• Foot and Ankle Clinic, PC
• Queena Getskow, PHARMD
• Abby Lynn Halvorson, MA, SLP
• Bridget A Heier, COTA/L
• Dana Huether, DNP
• Gabriel David Johnson, D.O

• All providers in Viborg, SD
• Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.