Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mickenzie Dougherty, MS, RD, LDN

Individual provider Registered Dietitian · NPI 1558012971

Mickenzie Dougherty, MS, RD, LDN is a Registered Dietitian in Media, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

49 Kirk Ln
Media, PA 19063-2137
Phone: (800) 736-3739
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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 number1558012971
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LDN
Sole proprietorYes
NPI enumeratedJanuary 18, 2022
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

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