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Blair Theis
NPI 1013568120 · Pediatric Nurse Practitioner · Festus, MO
Provider details
- NPI number
- 1013568120
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2013035893 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35 Goodwin Dr
Festus, MO 63028-4122
Phone: (636) 933-4141
Fax: (636) 931-7007
Street-level locationGet directions
Mailing address
35 Goodwin Dr
Festus, MO 63028-4122
Additional practice locations (2)
- 1309 Maple StFarmington, MO 63640-7641Phone: (573) 756-4343Fax: (573) 756-7191
- 1 Childrens PlSaint Louis, MO 63110-1002Phone: (314) 454-6000
Registry dates
- Enumerated
- 2019-09-20
- Last updated
- 2022-02-24
- Certified
- 2022-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.