Individual provider Active NPI

Marilyn R Dougherty, R.D.

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1851391528
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD775 Issued in OK
Practice address
6201 N Santa Fe Ave
Suite 2000
Oklahoma City, OK 73118-7532
Phone
(405) 272-5407
Fax
(405) 272-5492
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD775 OK Primary

Addresses

Primary practice location

6201 N Santa Fe Ave
Suite 2000
Oklahoma City, OK 73118-7532

Mailing address

6201 N Santa Fe Ave
Suite 2000
Oklahoma City, OK 73118-7532
Phone (405) 272-5407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD775OKMDRegistered Dietitian
775OKMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851391528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "SUITE 2000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187532",
            "telephone_number": "405-272-5407",
            "fax_number": "405-272-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "SUITE 2000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187532",
            "telephone_number": "405-272-5407",
            "fax_number": "405-272-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "MARILYN",
        "middle_name": "R",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "LD775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.