Active NPI
Deanna Ronne, RDN CDN LDN
- Registered Dietitian
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4692
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4692 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| SSM Cardinal Glennon Children'S Hospital | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | 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.
-
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
- Pediatrics Physician
- O Fallon, IL
- NPI 1174577670
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
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.