Individual provider Active NPI

Deanna Ronne, RDN CDN LDN

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1811535552
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4692 Issued in MA
Practice address
3990 Marcasel Ave
Los Angeles, CA 90066-4616
Phone
(781) 635-4926
Fax
(833) 892-0506
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4692 MA Primary

Addresses

Primary practice location

3990 Marcasel Ave
Los Angeles, CA 90066-4616

Mailing address

3990 Marcasel Ave
Los Angeles, CA 90066-4616
Phone (781) 635-4926

Other practice location 1

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 217-1000 ext. 3366

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
4692MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jan 8, 2024 Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Jan 8, 2024 Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Jan 8, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Jan 8, 2024 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

400 Medical Plz
Ste 220
Lake St Louis, MO 63367
Phone (314) 577-5674

13000 Butler Crest Dr
Saint Louis, MO 63128
Phone (314) 842-3535

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

1173 Corporate Lake Dr
Saint Louis, MO 63132

3878 Pershall Rd
Saint Louis, MO 63135
Phone (314) 344-6021

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811535552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 MARCASEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664616",
            "telephone_number": "781-635-4926",
            "fax_number": "833-892-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 MARCASEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664616",
            "telephone_number": "781-635-4926",
            "fax_number": "833-892-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-217-1000 x3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONNE",
        "first_name": "DEANNA",
        "credential": "RDN CDN LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2025-09-11",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.