NPI age
15 years
Enumerated 2010-06-15
● Active
Type 1 · Individual
Jill Peterson
Peterson is 1 of 26 specialist providers in Coeur D Alene and 1 of 305 in Idaho.
Primary specialty
Specialist
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-06-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 305 active specialist providers in Idaho.
NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-06Enumerated in NPPES
2010
2026
Where they practice
Practice location
6125 N Sunshine St
Coeur D Alene, ID 83815
Mailing address
213 E Miles Ave
Hayden, ID 838358204
Specialties
-
Specialist PrimaryAn 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.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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