Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie Dougherty, RD, CD

Individual provider Registered Dietitian · NPI 1053612283

Mackenzie Dougherty, RD, CD is a Registered Dietitian OR Nutrition Professional in Saint Paul, Minnesota. Qualified in 2002, 24 years ago. Practices with University of Minnesota Physicians, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2265 Como Ave
Saint Paul, MN 55108-1737
Phone: (651) 645-5323
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Highland Ave, Madison, WI 53792-0001 — (608) 890-8299

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 3882 (MN)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1053612283
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CD
Sole proprietorYes
NPI enumeratedNovember 4, 2010
Last updated in NPPESMarch 17, 2018
Mailing address2265 Como Ave, Saint Paul, MN 55108-1737

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice University Of Minnesota Physicians — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Paul