Active NPI
Katherine Frerichs, MS, RD, LD
- Registered Dietitian
- Waverly, IA
National Provider Identifier
1639463102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 956013
- Practice address
- 110 10TH St SW
Waverly, IA 50677-2924 - Phone
- (319) 352-3120
- Fax
- (319) 352-5720
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 956013 | IA | Primary |
Addresses
Primary practice location
110 10TH St SW
Waverly, IA 50677-2924
Mailing address
110 10TH St SW PO Box 785
Waverly, IA 50677-0785
Phone (319) 352-3120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 956013 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1639463102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 10TH ST SW PO BOX 785",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506770785",
"telephone_number": "319-352-3120",
"fax_number": "319-352-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 10TH ST SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772924",
"telephone_number": "319-352-3120",
"fax_number": "319-352-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRERICHS",
"first_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "956013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.