Kenneth Hans Hermansen, RDN, CDCES
NPI 1558068791ActiveIndividual· Dietitian, Registered· Longview, WA
Dietitian, Registered (RDN, CDCES) with Cowlitz Indian Tribe, practicing in Longview, Washington. Medicare paid $2,973 for services to 29 patients in 2024.
Overview
| NPI | 1558068791 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN, CDCES |
| Sole proprietor | No |
| NPI issued | Feb 8, 2023 |
| Last updated in NPPES | Sep 3, 2025 |
| Certified by provider | Sep 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DI61408612 | WA |
| Dietitian, Registered | 133V00000X | 275943 | KY |
| Dietitian, Registered | 133V00000X | 11870717-4901 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX); Practitioner - Registered Dietitian Or Nutrition Professional (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 94 across 4 procedure codes |
| Paid by Medicare | $2,973 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Cowlitz Indian TribeVancouver, WA · 27 clinicians
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