ALISSA DOUGHERTY


Address: 502 E 2nd St, Duluth, MN 55805-1913
Phone: 2187868364

ALISSA DOUGHERTY (NPI# 1407211212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407211212
Entity Type Individual
Full Name ALISSA DOUGHERTY
Credential RD,LD
Practice Address 502 E 2nd St
Duluth
MN 55805-1913
Mailing Address 1702 University Dr S
Fargo
ND 58103-4940
Practice Telephone 2187868364
Practice Fax Number 7029060933
Enumeration Date 2015-12-21
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 4208 MN Dietary & Nutritional Service Providers

Office Location

Street Address 502 E 2ND ST
City DULUTH
State MN
Zip Code 55805-1913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063479640 Sara Lynn Junge Speech-Language Pathologist 502 E 2nd St, Duluth, MN 55805-1913 2006-04-27
1174124168 Kathryn West Physical Therapist 502 E 2nd St, Duluth, MN 55805-1913 2020-11-05
1346851391 Jacqueline Wicklund Social Worker 502 E 2nd St, Duluth, MN 55805-1913 2020-08-13
1386260370 Heidi A Greifzu Nurse Practitioner 502 E 2nd St, Duluth, MN 55805-1913 2020-06-25
1093331878 Melissa Starr Social Worker 502 E 2nd St, Duluth, MN 55805-1913 2020-06-17
1518580117 Aimee Nicole Cruz Psychologist 502 E 2nd St, Duluth, MN 55805-1913 2020-05-19
1306489752 Chandler K Barnes Speech-Language Pathologist 502 E 2nd St, Duluth, MN 55805-1913 2019-10-17
1871151274 Dana R Collins Speech-Language Pathologist 502 E 2nd St, Duluth, MN 55805-1913 2019-05-31
1831668144 Christa H Deters Occupational Therapist 502 E 2nd St, Duluth, MN 55805-1913 2018-11-15
1841644994 Alissa Dawn Acker Speech-Language Pathologist 502 E 2nd St, Duluth, MN 55805-1913 2016-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356852180 Peace of Mind of Duluth, Inc. Community/Behavioral Health 1000 East 1st Street, Suite 100, Duluth, MN 55805 2017-10-19
1891213419 Arielle Skalisky Registered Nurse 400 E. 3rd Street, Duluth, MN 55805 2017-09-04
1457886400 Chefrdn, LLC Dietitian, Registered 1101 East 4th Street, Duluth, MN 55805 2017-04-27
1962811604 Claire Elena Kap Nurse Practitioner Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 2014-08-06
1598196313 Kelsey Lindsay Putvin Audiologist 400 E 3rd St., Duluth, MN 55805 2013-12-04
1639462997 James F Conniff Family Medicine Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 2011-05-19
1215237433 Bobby Jo Mineheine Speech-Language Pathologist 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 2010-10-22
1891004248 Robin Michelle Warfel Occupational Therapist 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 2010-10-04
1154638716 Jennifer Chen Pharmacist 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 2010-09-02
1376858084 Jennifer Lynn Howard Pharmacist 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 2010-08-18
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992305486 Susanne Mackinnon Dietitian, Registered 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 2020-10-26
1043727993 Amy Joyce Nicholos Dietitian, Registered 3980 Gallant Fox Ct, Duluth, GA 30096-5416 2018-01-01
1457886400 Chefrdn, LLC Dietitian, Registered 1101 East 4th Street, Duluth, MN 55805 2017-04-27
1255874194 Rahaf Al Bochi Dietitian, Registered 2951 Satellite Blvd, Apt 1732, Duluth, GA 30096-2328 2016-11-26
1710344569 Julia Callahan Dietitian, Registered 375 Wentworth Downs Ct, Duluth, GA 30097-7120 2016-01-25
1437559051 Natalie R Zwak Dietitian, Registered 26 E Superior St Ste 315, Duluth, MN 55802 2014-09-02
1710229349 Sherie Nelson Dietitian, Registered 214 Isanti St, Duluth, MN 55803-2011 2013-03-21
1427300375 Parul Shah Dietitian, Registered 3294 Islesworth Trce, Duluth, GA 30097-6289 2012-10-02
1962532481 Cristina Kim Dietitian, Registered 1160 Old Peachtree Rd, Duluth, GA 30097-5125 2007-03-06
1770104747 Alyssa Strom Dietitian, Registered 3025 Breckinridge Blvd Ste 160, Duluth, GA 30096-8985 2020-05-01
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Competitor

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City DULUTH
Zip Code 55805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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