Provider Demographics
NPI:1821270414
Name:SCHIERMEISTER, JILL (RDN, CSO, LRD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:SCHIERMEISTER
Suffix:
Gender:F
Credentials:RDN, CSO, LRD
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:
Other - Last Name:HENLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CSO, LRD
Mailing Address - Street 1:SANFORD HEALTH
Mailing Address - Street 2:300 N. 7TH STREET
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501
Mailing Address - Country:US
Mailing Address - Phone:701-323-5665
Mailing Address - Fax:701-323-8583
Practice Address - Street 1:300 N. 7TH STREET
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501
Practice Address - Country:US
Practice Address - Phone:701-323-5665
Practice Address - Fax:701-323-8583
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT532133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT298918OtherBCBS PIN
MT298918OtherBCBS PIN
MT011001215Medicare PIN