Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Nicole Henderson, PHD, RD

Individual provider Registered Dietitian · NPI 1245578202

Dr. Mary Nicole Henderson, PHD, RD is a Registered Dietitian in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

747 52nd St
Oakland, CA 94609-1809
Phone: (510) 428-3885
Fax: (510) 428-3284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1245578202
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , RD
Sole proprietorYes
NPI enumeratedJanuary 26, 2013
Last updated in NPPESJanuary 26, 2013

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