Active NPI
Heather Anne Tasselmyer, RDN
- Registered Dietitian
- Petaluma, CA
National Provider Identifier
1780319012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 151 Lynch Creek Way
Petaluma, CA 94954-2342 - Phone
- (707) 364-3527
- NPI assigned
- Jul 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
151 Lynch Creek Way
Petaluma, CA 94954-2342
Mailing address
1417 Sierra Dr
Petaluma, CA 94954-3717
Phone (707) 364-3527
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthful Nutrition & Wellness, LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
755 Baywood Dr
Fl 2
Petaluma, CA 94954
Phone (323) 432-0676
151 Lynch Creek Way
Petaluma, CA 94954
Phone (707) 364-3527
Organizations & group practices 2
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.
-
- Registered Dietitian
- Petaluma, CA
- NPI 1841188661
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1780319012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 SIERRA DR",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543717",
"telephone_number": "707-364-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 LYNCH CREEK WAY",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542342",
"telephone_number": "707-364-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASSELMYER",
"first_name": "HEATHER",
"middle_name": "ANNE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.