St. Louis Department of Veterans Affairs
NPI 1033415112ActiveOrganization· Dietitian, Registered· Saint Louis, MO
Dietitian, Registered in Saint Louis, Missouri, registered in NPPES in February 2011. The authorized official on file is Brooke Marie Theodorakos, M.S., R.D., L.D., Registered Dietitian.
Overview
| NPI | 1033415112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2011 |
| Last updated in NPPES | Feb 7, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 2009000717 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dietitian, Registered providers in Saint Louis
- 1609559384
- 1861227852
- 1093658932
- 1427878198
- 1043654650
- 1689216871
- 1912708579
- 1760022677
- 1255003380
- 1639342710
- 1972420123
- 1467257709