Deanne Marie Marselle, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004365 Issued in IL

Practice address

1183 Docklow Dr
Shiloh, IL 62221-8406

Phone

(314) 456-6809

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Medical Solutions LLC

  • Registered Dietitian
  • Earth City, MO
  • NPI 1861674871

  Dietitian, Registered

  NPD (past)
• Dsi Midwest Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Earth City, MO
  • NPI 1588665814
  NPD (past)
• Midwest Medical Supply Co LLC

  • Durable Medical Equipment & Medical Supplies
  • Earth City, MO
  • NPI 1528274875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1043340110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 DOCKLOW DR",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622218406",
            "telephone_number": "314-456-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 DOCKLOW DR",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622218406",
            "telephone_number": "314-456-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSELLE",
        "first_name": "DEANNE",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004365",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2005037494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF MISSOURI",
            "identifier": "1043340110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "164.004365",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "1043340110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "1043340110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1043340110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1043340110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01123177",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "721252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul E Loethen, MD
• Tabetha M Long, RPH
• Thomas Vinh Luong, MD
• LV Healthcare LLC
• Gaylin Manion, FNP
• Brea Anne Masching
• Sarah Maus, DPT
• Christine Marie Mayden, RN
• Kayla J McCarthy, ANP
• Natosha Leitschuh McEvers, RN

• All providers in Shiloh, IL
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.