Individual provider Active NPI

Deanne Marie Marselle, RD

  • Registered Dietitian
  • Shiloh, IL
National Provider Identifier
1043340110
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.004365 IL Primary
Registered Dietitian 133V00000X 2005037494 MO

Addresses

Primary practice location

1183 Docklow Dr
Shiloh, IL 62221-8406

Mailing address

1183 Docklow Dr
Shiloh, IL 62221-8406
Phone (314) 456-6809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.004365ILMDRegistered Dietitian
2005037494MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Medical Supply Co LLC Past Accepting new patients
Dsi Midwest Associates, LLC Past Accepting new patients
Advanced Medical Solutions LLC Dietitian, Registered PastSince Jun 1, 2011 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

  • 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.