MCKENZIE FEDRICK RD
NPI 1154273555
Dietitian, Registered in Greenville, MS

Active since February 10, 2026
111 W LAKE LEE RD, GREENVILLE, MS 38701(662) 822-8815 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mckenzie Fedrick Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENZIE FEDRICK RD (NPI 1154273555) is an individual dietitian, registered in Greenville, Mississippi, licensed in Mississippi (D-2749) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1154273555
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMCKENZIE FEDRICKCredential: RD
Location Address111 W LAKE LEE RDGreenville, MS 38701-9573
Mailing Address111 W Lake Lee RdGreenville, MS 38701-9573
Sole ProprietorNo
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1154273555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in MS · D-2749
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

111 W LAKE LEE RD, Greenville, MS 38701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154273555, enumerated as an "individual" on February 10, 2026.

The provider is located at 111 W LAKE LEE RD GREENVILLE, MS 38701 and the phone number is (662) 822-8815.

Dietitian, Registered with taxonomy code 133V00000X.