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ANDREA THEIS
NPI 1467247783
Student in an Organized Health Care Education/Training Program in Rockville, MD

Active since April 09, 2025PECOS Enrolled
1445 RESEARCH BLVD STE 100, ROCKVILLE, MD 20850(240) 552-5808 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Theis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA THEIS (NPI 1467247783) is an individual student in an organized health care education/training program in Rockville, Maryland and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1467247783
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA THEIS
Location Address1445 RESEARCH BLVD STE 100Rockville, MD 20850-6130
Mailing Address1445 Research Blvd Ste 100Rockville, MD 20850-6130 · (240) 552-5808
Phone(240) 552-5808
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1467247783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1445 RESEARCH BLVD STE 100, Rockville, MD 20850
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Theis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082125802
PECOS Enrollment IDI20250617004370
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORA SILVA SANTOS
Registered Nurse
1445 RESEARCH BLVD STE 100
ROCKVILLE, MD 20850
Montgomery County (301) 979-9405
ANOA HAWKINS
Counselor (Mental Health)
1445 RESEARCH BLVD STE 100
ROCKVILLE, MD 20850
Montgomery County (240) 552-5808
CARTER CAMPBELL TIPTON LMSW
Social Worker
1445 RESEARCH BLVD STE 100
ROCKVILLE, MD 20850
Montgomery County (240) 552-5808
CHANGE ACADEMY AT LAKE OF THE OZARKS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1445 RESEARCH BLVD STE 100
ROCKVILLE, MD 20850
Montgomery County (301) 985-2304
HALEY CRABB LCSW-C
Social Worker (Clinical)
1445 RESEARCH BLVD STE 100
ROCKVILLE, MD 20850
Montgomery County (240) 522-5808
ALYSSA DEGRACE LCPC
Counselor (Mental Health)
1445 RESEARCH BLVD STE 100
ROCKVILLE, MD 20850
Montgomery County (301) 407-2404
DIAMOND BENTON
Social Worker
1445 RESEARCH BLVD STE 100
ROCKVILLE, MD 20850
Montgomery County (240) 552-5808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Theis's NPI number?

The NPI number for Andrea Theis is 1467247783. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Andrea Theis located?

Andrea Theis practices at 1445 Research Blvd Ste 100, Rockville, MD 20850. The listed phone number is (240) 552-5808.

What is Andrea Theis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrea Theis enrolled in Medicare?

Yes. Andrea Theis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Theis was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.