Theresa Nickolaus, RD, LD, IBCLC
NPI 1922774751 · Registered Dietitian · Imperial, MO
Theresa Nickolaus, RD, LD, IBCLC is a Registered Dietitian provider in Imperial, MO (NPI 1922774751).
Provider details
- NPI number
- 1922774751
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-124884
Specialties & taxonomies
Dietary & Nutritional Service Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2021-08-20
- Last updated
- 2021-08-20
- Certified
- 2021-08-20
Frequently asked questions
- What is Theresa Nickolaus's NPI number?
- Theresa Nickolaus's National Provider Identifier (NPI) is 1922774751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Nickolaus's specialty?
- Theresa Nickolaus is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Theresa Nickolaus located?
- Theresa Nickolaus's practice location on file with NPPES is 1011 Scenic Oaks Ct, Imperial, MO 63052-3457.
- What is Theresa Nickolaus's phone number?
- The practice phone number listed in the NPPES registry for Theresa Nickolaus is (314) 363-6186.
- Is Theresa Nickolaus's NPI active?
- Yes — Theresa Nickolaus's NPI (1922774751) is active in the NPPES registry as of the last update on 2021-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.