Individual provider Active NPI

Wendy Anne Hermes, MSRD

  • Registered Dietitian
  • Sacramento, CA
National Provider Identifier
1255998399
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86043739 Issued in CA
Practice address
10535 Hospital Way
BLDG 727, RM 215
Sacramento, CA 95655
Phone
(916) 843-7165
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 86043739 CA
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X 86043739 CA Primary

Addresses

Primary practice location

10535 Hospital Way
BLDG 727, RM 215
Sacramento, CA 95655

Mailing address

2511 Northrop Ave Apt 54
Sacramento, CA 95825-4860
Phone (707) 330-9938

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86043739CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1255998399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 NORTHROP AVE APT 54",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254860",
            "telephone_number": "707-330-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY",
            "address_2": "BLDG 727, RM 215",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95655",
            "telephone_number": "916-843-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMES",
        "first_name": "WENDY",
        "middle_name": "ANNE",
        "credential": "MSRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "86043739",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86043739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.