JILL PETERSON
NPI 1700107612
Specialist in Coeur D Alene, ID

NPI Status: Active since June 15, 2010

Contact Information

6125 N SUNSHINE ST
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 964-4457

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  • Individual
  • Female
  • Specialist

About JILL PETERSON

This page provides the complete NPI Profile along with additional information for Jill Peterson, a provider established in Coeur D Alene, Idaho with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1700107612 assigned on June 2010. The practitioner's primary taxonomy code is 174400000X with license number MA 60093876 (WA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1700107612
Provider Name
JILL PETERSON
Gender
Female
Entity Type
Individual
Location Address
6125 N SUNSHINE ST COEUR D ALENE, ID 83815
Location Phone
(208) 964-4457
Mailing Address
213 E MILES AVE HAYDEN, ID 83835
Mailing Phone
(208) 964-4457
Is Sole Proprietor?
Yes
Enumeration Date
06-15-2010
Last Update Date
06-15-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MA 60093876
License State
WA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700107612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700201462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 2 + 0 + 1 + 4 + 6 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1700107612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437390051DAVID AGGEN INC.
Organization
Chiropractor6125 N SUNSHINE ST
COEUR D ALENE, ID 83815
(208) 772-0802
1952450884DR. DAVID THOMAS AGGEN D.C.
Individual
Chiropractor6125 N SUNSHINE ST
COEUR D ALENE, ID 83815
(208) 772-0802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700107612, enumerated in the NPI registry as an "individual" on June 15, 2010

The provider is located at 6125 N Sunshine St Coeur D Alene, Id 83815 and the phone number is (208) 964-4457

The provider's speciality is Specialist with taxonomy code 174400000X

This NPI record was last updated on June 15, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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