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ST. LOUIS DEPARTMENT OF VETERANS AFFAIRS NPI 1033415112


NPI Information

NPI: 1033415112
Provider Name: ST. LOUIS DEPARTMENT OF VETERANS AFFAIRS
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization

CLIA Number: 26D2033500

Address:
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO
ZIP 63125
Phone: (314) 652-4100
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ST. LOUIS DEPARTMENT OF VETERANS AFFAIRS is a dietitian registered in Saint Louis, MO. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. ST. LOUIS DEPARTMENT OF VETERANS AFFAIRS NPI is 1033415112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO
ZIP 63125-181
Phone: (314) 652-4100

The provider's authorized official is Brooke Marie Theodorakos .
The authorized official title is Registered Dietitian and has the following contact phone number (314) 652-4100.

The CLIA number assigned to this NPI record is 26D2033500 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/7/2011 and was last updated on 2/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered2009000717MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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