Active NPI
Jill Marie Madison-Butte, RD REGISTERED DIETIT
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1073033387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1091637
- Practice address
- 4650 Sunset Blvd
Mail Stop 8
Los Angeles, CA 90027 - Phone
- (323) 361-4173
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1091637 | Primary |
Addresses
Primary practice location
4650 Sunset Blvd
Mail Stop 8
Los Angeles, CA 90027
Mailing address
9660 NE Beach Crest Dr.
Bainbridge Island, WA 98110-6062
Phone (206) 300-3974
Other names 1
- Jill Marie Madison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1073033387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9660 NE BEACH CREST DR.",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981106062",
"telephone_number": "206-300-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 SUNSET BLVD",
"address_2": "MAIL STOP 8",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "323-361-4173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON-BUTTE",
"first_name": "JILL",
"middle_name": "MARIE",
"credential": "RD REGISTERED DIETIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1091637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "MADISON",
"middle_name": "MARIE",
"credential": "DIETIT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.