Jill Thiede, MD, RD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1265916167

Jill Thiede, MD, RD is a Pediatric Nutrition Registered Dietitian in Camp Pendleton, California. Licensed in Missouri and Texas. Registered with an NPI since 2018.

Licensed in: MO, TX
In the registry since: 2018
Specialties on file: 4

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.
RD — Registered Dietitian: A credentialed nutrition professional.

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Practice location Address checks out

H200 Mercy Cir
Camp Pendleton, CA 92055
Phone: (682) 885-7960

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary)	Taxonomy 208D00000X · Licence 2024034082 (MO)
Pediatric Nutrition Registered Dietitian	Taxonomy 133VN1004X · Licence DT85560 (TX)
Military Health Care Provider	Taxonomy 171000000X
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1265916167
Entity type	Individual (Type 1)
Gender	Female
Credentials	MD , RD
Sole proprietor	No
NPI enumerated	September 18, 2018
Last updated in NPPES	September 5, 2024
Certification date	September 5, 2024
Mailing address	H200 Mercy Circle, Camp Pendleton, CA 92055