Nourished Body

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISHED BODY

Practice address

1321 N Northwood Center CT Ste B
Coeur D Alene, ID 83814-4944

Phone

(208) 819-8413

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Jill Terracciano, RDNPI 1497221220

Title

Owner/ Dietitian

Phone

(208) 819-8413

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Danielle Terracciano, R.D.

  • Registered Dietitian
  • Coeur d'Alene, ID
  • NPI 1497221220

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1740041268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N NORTHWOOD CENTER CT STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144944",
            "telephone_number": "208-819-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N NORTHWOOD CENTER CT STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144944",
            "telephone_number": "208-819-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "TERRACCIANO",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/ DIETITIAN",
        "authorized_official_telephone_number": "208-819-8413",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "1497221220",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Nutrition Consulting
• Northwest Physicians and Surgeons
• Northwest Psychiatric Associates PA
• Aaron J Notestine, M.D.
• Ashely Wells Notestine, LCPC 7410
• Annmarie Nugent
• Paula M Nugnet, MASSAGE PRACTIONER
• Debbie Janeth Nunez, PHD
• Orlando E. Nunez, DPM, MD
• Nutrition Upgrade LLC

• 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 Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.