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Active NPI 1053612283 Individual Practitioner Female Practitioner

Mackenzie Dougherty , RD, CD

Dietitian, Registered • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mackenzie Dougherty, RD, CD is a certified Dietitian, Registered practicing in Saint Paul, MN. With approximately 24 years of clinical experience since completing medical education in 2002, Mackenzie Dougherty delivers high-quality medical care to the local community at 2265 COMO AVE.

Mackenzie Dougherty is affiliated with University Of Minnesota Physicians and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2265 Como Ave

Saint Paul, MN 551081737

Telephone 6516455323
Associated Practice Facility / Clinic
🏢 Emily Program Pc Facility NPI 1669444329

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs -1.5 yrs vs City Avg
City Avg: 25.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
137 Specialists

Practicing in Saint Paul, MN (1611 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dougherty (24 Years) 24 Yrs
Saint Paul Specialty Average (25.5 Years) 25.5 Yrs

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 3882

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

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.

Hospital & Practice Group Affiliations

University Of Minnesota Physicians

901 S 2nd St, Minneapolis, MN 554152123

Phone: 6122736089

Secondary Practice Locations

600 Highland Ave, Mc 1510

Madison, WI 537920001

Phone: 6088908299

Practice Associates & Co-Workers

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

40 Associated Practitioners
Krista Wanous , MA, MFT, AT

Student in an Organized Health Care Education/Training Program

NPI 1013431709

Master of Arts, Marriage and Family Therapist, AT

Colette Kuhn , LP

Psychologist - Clinical

NPI 1023195443

Licensed Psychologist

Janelle Zimmerman , MA, LPCC

Counselor - Mental Health

NPI 1023448537

Master of Arts, Licensed Professional Clinical Counselor

Amy Lawrence , LMFT

Marriage & Family Therapist

NPI 1043389604

Licensed Marriage and Family Therapist

Deanna Miller

Dietitian, Registered

NPI 1043467764
Lindsey Stiyer , RD

Dietitian, Registered

NPI 1043661051

Registered Dietitian

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 2265 COMO AVE, SAINT PAUL, MN 551081737 (Tel: 6516455323)

📍
Updated Business Mailing Address March 17, 2018

Registered at 2265 COMO AVE, SAINT PAUL, MN 551081737

📍
Updated Practice Location March 07, 2018

Registered at 2265 COMO AVE, SAINT PAUL, MN 551081737 (Tel: 6516455323)

📍
Updated Business Mailing Address March 07, 2018

Registered at 2265 COMO AVE, SAINT PAUL, MN 551081737

NPI Profile Active April 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2012

Registered at 600 HIGHLAND AVE, MC 1510, MADISON, WI 537920001 (Tel: 6088908299)

📍
Updated Business Mailing Address April 09, 2012

Registered at 600 HIGHLAND AVE, MC 1510, MADISON, WI 537920001

👤
Provider Name / Credentials Updated April 09, 2012

Recorded as MACKENZIE DOUGHERTY, RD, CD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2012

Dietitian, Registered

🟢
Initial NPI Registration & Enumeration November 04, 2010

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: 1053612283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2010
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

2265 Como Ave

Saint Paul, MN 551081737

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.