ST. LOUIS DEPARTMENT OF VETERANS AFFAIRS
NPI 1033415112
Dietitian, Registered in Saint Louis, MO
NPI Status: Active since February 07, 2011
Contact Information
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO
ZIP 63125
Phone: (314) 652-4100
- Organization
- Dietitian, Registered
- CLIA Number: 26D2033500
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About ST. LOUIS DEPARTMENT OF VETERANS AFFAIRS
This page provides the complete NPI Profile along with additional information for St. Louis Department Of Veterans Affairs, a provider established in Saint Louis, Missouri operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1033415112 assigned on February 2011. The practitioner's primary taxonomy code is 133V00000X with license number 2009000717 (MO). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Brooke Marie Theodorakos M.s., R.d., L.d. (Registered Dietitian)
- NPI
- 1033415112
- Provider Name
- ST. LOUIS DEPARTMENT OF VETERANS AFFAIRS
- Entity Type
- Organization
- Location Address
- 1 JEFFERSON BARRACKS DR SAINT LOUIS, MO 63125
- Location Phone
- (314) 652-4100
- Mailing Address
- 1 JEFFERSON BARRACKS DR SAINT LOUIS, MO 63125
- Mailing Phone
- (314) 652-4100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2011
- Last Update Date
- 02-07-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 2009000717
- License State
- MO
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2033500
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 05, 2011
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- NECAT HAVLIOGLU
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to St. Louis Department Of Veterans Affairs on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033415112, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033415112, enumerated as an "organization" on February 07, 2011.
The provider is located at 1 JEFFERSON BARRACKS DR SAINT LOUIS, MO 63125 and the phone number is (314) 652-4100.
Dietitian, Registered with taxonomy code 133V00000X.
