MIA THEIS - NPI 1699402297 - Speech-Language Pathologist in Elk Grove, CA

Q: What is Mia Theis's NPI number?

The NPI number for Mia Theis is 1699402297. It was assigned to this individual provider in the NPPES registry on August 3, 2022. The provider is also known as Mia Rodriquez.

Q: What is Mia Theis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mia Theis was last updated on June 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mia Theis NPPES

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

MIA THEIS (NPI 1699402297) is an individual speech-language pathologist provider in Elk Grove, California, licensed in California (16719) and active in the NPI registry since August 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1699402297

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMIA THEIS

Location Address10305 PROMENADE PKWYElk Grove, CA 95757-9400

Mailing Address3320 Data Dr Ste 400Rancho Cordova, CA 95670-7341 · (916) 564-5010

Phone(916) 688-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 3, 2022

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1699402297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 16719

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

10305 PROMENADE PKWY, Elk Grove, CA 95757

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Other Names 1

Former Name (1)Mia Rodriquez

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID345753380

PECOS Enrollment IDI20250702000648

Other Providers at the Same Location NPPES 14

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

DR. SHAWN YOUNGS MD

Family Medicine