Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Louis Department of Veterans Affairs

Organization Registered Dietitian · NPI 1033415112

St Louis Department of Veterans Affairs provides Registered Dietitian services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011

Practice location Address checks out

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181 Not confirmed with CMS for 15 years — call before visiting
Phone: (314) 652-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2009000717 (MO)

Record details

NPI number1033415112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brooke Theodorakos — Registered Dietitian · (314) 652-4100
NPI enumeratedFebruary 7, 2011
Last updated in NPPESFebruary 7, 2011
Mailing address1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181

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