Active NPI
Wendy Anne Hermes, MSRD
- Registered Dietitian
- Sacramento, CA
National Provider Identifier
1255998399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86043739
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 86043739 | CA | |
| Registered Dietitian | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86043739 | CA | MD | Registered 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.