Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265916167 Individual Practitioner Female Practitioner

Dr. Jill Thiede , MD, RD

General Practice • Camp Pendleton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jill Thiede, MD, RD is a registered healthcare professional specializing in General Practice in Camp Pendleton, CA. Practice services are available at H200 MERCY CIRCLE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

H200 Mercy Circle

Camp Pendleton, CA 92055

Telephone 6828857960

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Camp Pendleton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
38 Specialists

Practicing in Camp Pendleton, CA (2300 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-05
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO 2024034082

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Dietitian, Registered - Nutrition, Pediatric

NUCC Taxonomy Code: 133VN1004X

State License TX DT85560

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
DT85560 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dr. John Dallas , MD

Pediatrics - Pediatric Endocrinology

NPI 1023123478

Doctor of Medicine (M.D.)

Dr. Lawrence Swanson , MD

Pediatrics - Pediatric Endocrinology

NPI 1043537392

Doctor of Medicine (M.D.)

Candice Williams , APRN, CPNP-PC

Nurse Practitioner - Primary Care

NPI 1144827973

Advanced Practice Registered Nurse, CPNPPC

Abigail Robinson , MS, RDN, LD

Dietitian, Registered

NPI 1184437741

Master of Science, Registered Dietitian Nutritionist, Licensed Dietitian

Dr. Paul Thornton , MD

Pediatrics - Pediatric Endocrinology

NPI 1265521108

Doctor of Medicine (M.D.)

Dr. Jill Radack , MD

Pediatrics - Pediatric Endocrinology

NPI 1306036686

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated September 05, 2024

Recorded as JILL THIEDE, MD, RD

📍
Updated Practice Location May 18, 2023

Registered at H200 MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 6828857960)

📍
Updated Business Mailing Address May 18, 2023

Registered at H200 MERCY CIRCLE, CAMP PENDLETON, CA 92055

NPI Profile Active September 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2018

Registered at 1500 COOPER ST, FORT WORTH, TX 761042710 (Tel: 6828857960)

📍
Updated Business Mailing Address September 18, 2018

Registered at PO BOX 733784, DALLAS, TX 753733784 (Tel: 6828851860)

👤
Provider Name / Credentials Updated September 18, 2018

Recorded as JILL THIEDE, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2018

Dietitian, Registered (License #DT85560 in TX)

🟢
Initial NPI Registration & Enumeration September 18, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265916167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2018
Last Update: September 05, 2024
Sole Proprietor: No

Mailing Address

H200 Mercy Circle

Camp Pendleton, CA 92055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.