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Active NPI 1558068791 Individual Practitioner Male Practitioner

Kenneth Hans Hermansen , RDN, CDCES

Dietitian, Registered • Longview, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenneth Hermansen, RDN, CDCES is a certified Dietitian, Registered practicing in Longview, WA. With approximately 7 years of clinical experience since completing medical education in 2019, Kenneth Hermansen delivers high-quality medical care to the local community at 1044 11TH AVE.

Kenneth Hermansen is affiliated with The Vancouver Clinic Inc Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include diabetes outpatient self-management training services, individual, per. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1044 11th Ave

Longview, WA 986322506

Telephone 3605758275
Fax 3603539440
Associated Practice Facility / Clinic
🏢 Cowlitz Indian Tribe Facility NPI 1851328447

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Longview, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -20.5 yrs vs City Avg
City Avg: 27.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Longview, WA (2154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hermansen (7 Years) 7 Yrs
Longview Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
44 20 $178.00 $54.17

Medical Specialties & State Licenses

CMS Verified: 2025-09-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI61408612

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License KY 275943

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License UT 11870717-4901

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Hospital & Practice Group Affiliations

The Vancouver Clinic Inc Ps

700 Ne 87th Ave, Vancouver, WA 986641913

Phone: 3608822778

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lori Ryan , ARNP

Nurse Practitioner - Family

NPI 1023473352

Advanced Registered Nurse Practitioner

Celia Delaney , MA

Counselor - Mental Health

NPI 1033508064

Master of Arts

Susan Hather , CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1104171677
Stephanie Dunnigan , CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1114360989
Cheryl Carter , MS, LMHCA, CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1124486873

Master of Science, LMHCA, CDPT

Stephanie Degroat

Social Worker - Clinical

NPI 1194205609

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 03, 2025

Registered at 1044 11TH AVE, LONGVIEW, WA 986322506 (Tel: 3605758275)

📍
Updated Business Mailing Address September 03, 2025

Registered at PO BOX 2429, LONGVIEW, WA 986328486 (Tel: 3603539494)

👤
Provider Name / Credentials Updated September 03, 2025

Recorded as KENNETH HERMANSEN, RDN, CDCES

📍
Updated Practice Location April 04, 2023

Registered at 700 NE 87TH AVE, VANCOUVER, WA 986644896 (Tel: 3608822778)

📍
Updated Business Mailing Address April 04, 2023

Registered at PO BOX 4825, PORTLAND, OR 972084825 (Tel: 3608822778)

NPI Profile Active February 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2023

Registered at 771 E 550 S UNIT 303, AMERICAN FORK, UT 840033997 (Tel: 6615243905)

📍
Updated Business Mailing Address February 08, 2023

Registered at 771 E 550 S UNIT 303, AMERICAN FORK, UT 840033997 (Tel: 6615243905)

👤
Provider Name / Credentials Updated February 08, 2023

Recorded as KENNETH HERMANSEN, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2023

Dietitian, Registered (License #275943 in KY)

🟢
Initial NPI Registration & Enumeration February 08, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558068791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2023
Last Update: September 03, 2025
Sole Proprietor: No

Mailing Address

Po Box 2429

Longview, WA 986328486

Phone: 3603539494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.