Active NPI
Jennifer Herrmann, RD, IBCLC
- Metabolic Nutrition Registered Dietitian
- Wilmington, NC
National Provider Identifier
1467179473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Practice address
- 5002 Randall Pkwy Ste 102
Wilmington, NC 28403-2845 - Phone
- (252) 626-6652
- NPI assigned
- Oct 21, 2022
- Last updated
- Feb 26, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L006539 | NC | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary | ||
| Lactation Consultant (Non-RN) | 174N00000X | L-17256 | NC |
Addresses
Primary practice location
5002 Randall Pkwy Ste 102
Wilmington, NC 28403-2845
Mailing address
328 Marsh Oaks Dr
Wilmington, NC 28411-8708
Phone (252) 626-6652
Other practice location 1
5002 Randall Pkwy Ste 102
Wilmington, NC 28403-2845
Phone (910) 627-5524
Other names 1
- Jennifer Resh
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-17256 | NC | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Herrmann Rd Ibclc | Dietitian, Registered | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1467179473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 MARSH OAKS DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118708",
"telephone_number": "252-626-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 RANDALL PKWY STE 102",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032845",
"telephone_number": "252-626-6652"
}
],
"practiceLocations": [
{
"address_1": "5002 Randall Pkwy Ste 102",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284032845",
"country_code": "US",
"telephone_number": "910-627-5524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRMANN",
"first_name": "JENNIFER",
"credential": "RD, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006539",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NC",
"license": "L-17256",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "RESH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.