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.
Provyx · Custom healthcare lists
Need all 305 Specialist providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.