IndividualActive
Mickenzie Dougherty, MS, RD, LDN
NPI 1558012971 · Registered Dietitian · Media, PA
Mickenzie Dougherty, MS, RD, LDN is a Registered Dietitian provider in Media, PA (NPI 1558012971).
Provider details
- NPI number
- 1558012971
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LDN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
49 Kirk Ln
Media, PA 19063-2137
Phone: (800) 736-3739
Street-level locationGet directions
Mailing address
49 Kirk Ln
Media, PA 19063-2137
Registry dates
- Enumerated
- 2022-01-18
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Mickenzie Dougherty's NPI number?
- Mickenzie Dougherty's National Provider Identifier (NPI) is 1558012971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mickenzie Dougherty's specialty?
- Mickenzie Dougherty is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Mickenzie Dougherty located?
- Mickenzie Dougherty's practice location on file with NPPES is 49 Kirk Ln, Media, PA 19063-2137.
- What is Mickenzie Dougherty's phone number?
- The practice phone number listed in the NPPES registry for Mickenzie Dougherty is (800) 736-3739.
- Is Mickenzie Dougherty's NPI active?
- Yes — Mickenzie Dougherty's NPI (1558012971) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.