location
search-icon
person
Jill Thiede, RD,LD
Military Health Care Provider in Camp Pendleton, California
NPI 1265916167

Jill Thiede is a Military Health Care Provider based in Camp Pendleton, CA. Jill Thiede practices in Camp Pendleton, CA and has the professional credentials of RD,LD. The NPI Number for Jill Thiede is 1265916167 and holds a License No. DT85560 (California).

The current practice location address for Jill Thiede is H200 Mercy Circle, Camp Pendleton, CA and can be reached out via phone at 682-885-7960.

Location: H200 Mercy Circle, Camp Pendleton, CA, 92055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265916167
Provider Name
Jill Thiede
Credential
RD,LD
Provider Entity Type
Individual
Gender
Female
Address
H200 Mercy Circle, Camp Pendleton, CA, 92055
Phone Number
682-885-7960
Fax Number
Provider Enumeration Date
09/18/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DT85560 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
H200 Mercy Circle
City
Camp Pendleton
State
California
Zip
92055
Phone Number
682-885-7960
Fax Number
person
Provider Business Mailing Address Details
Address
H200 Mercy Circle
City
Camp Pendleton
State
California
Zip
92055
Phone Number
682-885-7960
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
()
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DT85560 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.