JILL PETERSON
NPI 1700107612
Specialist in Coeur D Alene, ID

Active since June 15, 2010
6125 N SUNSHINE ST, COEUR D ALENE, ID 83815(208) 964-4457 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL PETERSON (NPI 1700107612) is an individual specialist in Coeur D Alene, Idaho, licensed in Washington (MA 60093876) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1700107612
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJILL PETERSON
Location Address6125 N SUNSHINE STCoeur D Alene, ID 83815
Mailing Address213 E Miles AveHayden, ID 83835-8204 · (208) 964-4457
Sole ProprietorYes
Enumeration DateJune 15, 2010
NPI 1700107612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MA 60093876
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6125 N SUNSHINE ST, Coeur D Alene, ID 83815

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6125 N SUNSHINE ST
COEUR D ALENE, ID 83815
Chiropractor
6125 N SUNSHINE ST
COEUR D ALENE, ID 83815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Peterson's NPI number?

The NPI number for Jill Peterson is 1700107612. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Jill Peterson located?

Jill Peterson practices at 6125 N Sunshine St, Coeur D Alene, ID 83815. The listed phone number is (208) 964-4457.

What is Jill Peterson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jill Peterson was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.