JILL THIEDE RD LD NPI 1265916167

NPI Information

NPI: 1265916167
Provider Name: JILL THIEDE, RD, LD
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
H200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055
Phone: (682) 885-7960
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Jill Thiede, RD, LD is a military health care provider in Camp Pendleton, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Jill Thiede, RD, LD NPI is 1265916167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

H200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055
Phone: (682) 885-7960

The enumeration date for this NPI number is 9/18/2018 and was last updated on 8/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1004X	Dietitian, Registered	Nutrition, Pediatric	DT85560	TEXAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	171000000X	Military Health Care Provider				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DT85560	OTHER	TEXAS	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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