Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407211212 Individual Practitioner Female Practitioner

Alissa Dougherty , RD, LD

Dietitian, Registered • Duluth, MN

Professional Overview & Biography Verified Profile Summary

Alissa Dougherty, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Duluth, MN. Practice services are available at 502 E 2ND ST under active NPI credentials.

Frequently performed procedures and clinical services include diabetes outpatient self-management training services, group session (, diabetes outpatient self-management training services, individual, per. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

502 E 2nd St

Duluth, MN 558051913

Telephone 2187868364
Fax 7029060933
Associated Practice Facility / Clinic
🏢 Smdc Medical Center Facility NPI 1033153895

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Duluth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
62 Specialists

Practicing in Duluth, MN (1611 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
74 15 $32.93 $14.69
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
36 22 $116.50 $54.08

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 4208

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Molly Dwyer , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003468760

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1003565292

Doctor of Medicine (M.D.)

Kelsey O'neil , APRN, CNP

Nurse Practitioner - Family

NPI 1003677303

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Annette Barker

Nurse Practitioner - Family

NPI 1003845595
Bruce Derauf

Radiology - Diagnostic Radiology

NPI 1003847385
Nizar Saleh

Internal Medicine - Cardiovascular Disease

NPI 1003857889

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location October 04, 2019

Registered at 502 E 2ND ST, DULUTH, MN 558051913 (Tel: 2187868364)

📍
Updated Business Mailing Address October 04, 2019

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940

👤
Provider Name / Credentials Updated October 04, 2019

Recorded as ALISSA DOUGHERTY, RD,LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2019

Dietitian, Registered (License #4208 in MN)

NPI Profile Active January 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2017

Registered at 9260 W SUNSET RD, STE. 207, LAS VEGAS, NV 891484858 (Tel: 7023045756)

📍
Updated Business Mailing Address January 31, 2017

Registered at 9260 W SUNSET RD, STE. 200, LAS VEGAS, NV 891484858 (Tel: 7022553547)

👤
Provider Name / Credentials Updated January 31, 2017

Recorded as ALISSA DOUGHERTY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Dietitian, Registered (License #39082-DI-O in NV)

NPI Profile Active March 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2016

Registered at 5841 S MARYLAND AVE # MC1027, CHICAGO, IL 606371447 (Tel: 7737020123)

📍
Updated Business Mailing Address March 08, 2016

Registered at 180 HARVESTER DR STE 110, BURR RIDGE, IL 605276686 (Tel: 7737021150)

👤
Provider Name / Credentials Updated March 08, 2016

Recorded as ALISSA DOUGHERTY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2016

Dietitian, Registered (License #164005720 in IL)

🟢
Initial NPI Registration & Enumeration December 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407211212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2015
Last Update: October 04, 2019
Sole Proprietor: No

Mailing Address

1702 University Dr S

Fargo, ND 581034940

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.