Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Jo Nicholson, RD, LD

Individual provider Registered Dietitian · NPI 1154751196

Mallory Jo Nicholson, RD, LD is a Registered Dietitian in West Des Moines, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2013
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

1990 Grand Ave
West Des Moines, IA 50265-4222
Phone: (515) 223-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 002117 (IA)

Record details

NPI number1154751196
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedNovember 12, 2013
Last updated in NPPESNovember 12, 2013
Mailing address1990 Grand Ave, West Des Moines, IA 50265-4222

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