Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Louis Department of Veterans Affairs

Organization Registered Dietitian · NPI 1033415112

St Louis Department of Veterans Affairs is a Registered Dietitian 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
Phone: (314) 652-4100
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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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