Individual provider Active NPI

Heather Anne Tasselmyer, RDN

  • Registered Dietitian
  • Petaluma, CA
National Provider Identifier
1780319012
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Healthful Nutrition & Wellness, LLC Dietitian, Registered CurrentSince Jun 29, 2025 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.

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.

Verify at the official NPI Registry.