Individual provider

Brooke Fredrickson, LRD, CSG

Registered Dietitian Medicare enrolled

Brooke Fredrickson, LRD, CSG is a Registered Dietitian in Cooperstown, ND, registered under NPI 1053645317.

Getting there

The practice address on file is 1200 ROBERTS AVE NE, Cooperstown, ND 58425. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1200 ROBERTS AVE NE, Cooperstown, ND 58425 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
669 ND Registered Dietitian primary

This provider holds licence 669 issued in ND. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Registered Dietitian Or Nutrition Professional
PAC ID
3476905118
Enrollment ID
I20240118002852

Medicare enrolment is recorded as approved under the provider type Practitioner - Registered Dietitian Or Nutrition Professional. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dietitian, Registered covers

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. NUCC Health Care Provider Taxonomy, code 133V00000X
Dietary & Nutritional Service Providers Dietitian, Registered

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053645317 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 18, 2009
Last updatedSep 18, 2009
StatusActive
Sole proprietorNo
CredentialLRD, CSG
Practice address 1200 ROBERTS AVE NE
Cooperstown, ND 58425
(701) 797-2221
Mailing address 80 COUNTY ROAD 19
Cooperstown, ND 58425
This record was last updated on Sep 18, 2009, roughly 16 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1053645317 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 6 4 5 3 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 3 4 1 3 2

Sum = 43 · next multiple of 10 = 50 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053645317?
NPI 1053645317 is the National Provider Identifier assigned to Brooke Fredrickson, LRD, CSG in Cooperstown, ND. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Registered Dietitian cover?
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's…
How do I contact Brooke Fredrickson, LRD, CSG?
The phone number on file with NPPES is (701) 797-2221, last updated Sep 18, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brooke Fredrickson, LRD, CSG accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053645317 a valid number?
Yes. 1053645317 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.