Individual ProviderHailie Kate HermesDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address3901 N Amberwood Ave, Meridian, ID 83646-7619(208) 870-3002PECOS EnrollmentBased on the most recent information from CMS, provider Hailie Kate Hermes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:57 PM.Profile DetailsProvider ID1295405967Provider TypeIndividualFull NameHermes, Hailie KateCredentialRDN, LD, IFNCPGenderFemaleSole ProprietorYesEnumeration Date9/15/2021Last Updated5/5/2025Contact InformationPractice LocationPractice Address3901 N Amberwood Ave, Meridian, ID 83646-7619Phone(208) 870-3002FaxUnlisted FaxMailing LocationMailing Address3901 N Amberwood Ave, Meridian, ID 83646-7619Phone(208) 870-3002FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseD-1208Idaho