Active NPI
Andria Herron, RD
- Registered Dietitian
- Sparks, NV
National Provider Identifier
1306429550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 41515-DI-0
- Practice address
- 1164 Fairway Vista LN Apt 323
Sparks, NV 89436-3745 - Phone
- (206) 949-1233
- Fax
- (512) 339-9909
- NPI assigned
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.024218 | IL | |
| Registered Dietitian | 133V00000X | TPND1443 | FL | |
| Registered Dietitian | 133V00000X | LD-D10247216 | OR | |
| Registered Dietitian | 133V00000X | DIET.DI.70045551 | WA | |
| Registered Dietitian | 133V00000X | DX7712 | MD | |
| Registered Dietitian | 133V00000X | 4177 | LA | |
| Registered Dietitian | 133V00000X | 41515-DI-0 | NV | Primary |
Addresses
Primary practice location
1164 Fairway Vista LN Apt 323
Sparks, NV 89436-3745
Mailing address
1164 Fairway Vista LN
Sparks, NV 89436-3745
Phone (206) 949-1233
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 |
|---|---|---|---|
| 4177 | LA | MD | Clinical Social Worker |
| TPND1443 | FL | MD | Registered Dietitian |
| 164.024218 | IL | MD | Registered Dietitian |
| DX7712 | MD | MD | Registered Dietitian |
| 41515-DI-0 | NV | MD | Registered Dietitian |
| LD-D10247216 | OR | MD | Registered Dietitian |
| DIET.DI.70045551 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1306429550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 FAIRWAY VISTA LN",
"city": "SPARKS",
"state": "NV",
"postal_code": "894363745",
"telephone_number": "206-949-1233",
"fax_number": "512-339-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 FAIRWAY VISTA LN APT 323",
"city": "SPARKS",
"state": "NV",
"postal_code": "894363745",
"telephone_number": "206-949-1233",
"fax_number": "512-339-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "ANDRIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.024218",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "TPND1443",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D10247216",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DIET.DI.70045551",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX7712",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "4177",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "41515-DI-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.