JILL THIEDE MD, RD – NPI #1265916167
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
JILL THIEDE is a physician located in CAMP PENDLETON, CA. NPPES has assigned the NPI number 1265916167 to JILL THIEDE on September 18, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was last updated on Sep 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JILL THIEDE below.
NPI Profile for
JILL THIEDE
(more than 7 years ago)
CAMP PENDLETON, CA 92055 Phone: (682) 885-7960 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for JILL THIEDE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | LICENSE | TX | DT85560 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
MO | 2024034082 |
| 390200000X - Student in an Organized Health Care Education/Training Program |
||
| 171000000X - Military Health Care Provider |
||
| 133VN1004X - Dietitian, Registered / Nutrition, Pediatric |
TX | DT85560 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.