Mackenzie Dougherty, RD, CD
NPI 1053612283 · Registered Dietitian · Saint Paul, MN
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mackenzie Dougherty, RD, CD is a Registered Dietitian provider in Saint Paul, MN (NPI 1053612283).
Provider details
- NPI number
- 1053612283
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 600 Highland AveMc 1510Madison, WI 53792-0001Phone: (608) 890-8299
Registry dates
- Enumerated
- 2010-11-04
- Last updated
- 2018-03-17
Frequently asked questions
- What is Mackenzie Dougherty's NPI number?
- Mackenzie Dougherty's National Provider Identifier (NPI) is 1053612283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mackenzie Dougherty's specialty?
- Mackenzie Dougherty is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Mackenzie Dougherty located?
- Mackenzie Dougherty's practice location on file with NPPES is 2265 Como Ave, Saint Paul, MN 55108-1737.
- What is Mackenzie Dougherty's phone number?
- The practice phone number listed in the NPPES registry for Mackenzie Dougherty is (651) 645-5323.
- Does Mackenzie Dougherty accept Medicare?
- Mackenzie Dougherty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mackenzie Dougherty's NPI active?
- Yes — Mackenzie Dougherty's NPI (1053612283) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.