Jill Danielle Terracciano, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

60641059 Issued in WA

Practice address

102 E Elm Avenue
Coeur D' Alene, ID 83814

Phone

(208) 819-8413

Fax

(208) 485-4781

NPI assigned

Oct 19, 2018

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jill Danielle Meredith Former name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nourished Body

  • Registered Dietitian
  • Coeur d'Alene, ID
  • NPI 1740041268

  Dietitian, Registered

  NPD Authorized official
• Inland Pelvic Health & Physical Therapy, LLC

  • Physical Therapist
  • Hayden, ID
  • NPI 1215576640
  NPD (past)
• Physioone

  • Physical Therapist
  • Hayden, ID
  • NPI 1659642775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1497221220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E ELM AVENUE",
            "city": "COEUR D' ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-819-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E ELM AVENUE",
            "city": "COEUR D' ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-819-8413",
            "fax_number": "208-485-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRACCIANO",
        "first_name": "JILL",
        "middle_name": "DANIELLE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "86026768",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60641059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MEREDITH",
            "middle_name": "DANIELLE",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawn William Taylor, D.O.
• Christina Tempesta
• Joel D Tenbrink, PT, ATC
• Gladys Liliana Tenney
• Francesca Terracciano, LPC
• Terrace Home Health Boise LLC (Rocky Mountain Hospice)
• Terrace Home Health Boise LLC (Rocky Mountain Home Health)
• Terrace Home Health Boise LLC (Terrace Home Health)
• Monica Terry, PHARMD
• Tesh, Inc.

• Registered Dietitian in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.