Individual provider Active NPI

Marie T Stauder, RN, LAPN, CDE

  • Registered Dietitian
  • Decatur, IL
National Provider Identifier
1811930035
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2300 N Edward St
Decatur Memorial Hospital
Decatur, IL 62526-4163
Phone
(217) 876-8121
Fax
(217) 876-2261
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 IL Primary

Addresses

Primary practice location

2300 N Edward St
Decatur Memorial Hospital
Decatur, IL 62526-4163

Mailing address

241 W Weaver Rd
Suite 210 DMH Wellness Center
Forsyth, IL 62535-9799
Phone (217) 876-5366

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
209-002834ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811930035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W WEAVER RD",
            "address_2": "SUITE 210 DMH WELLNESS CENTER",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359799",
            "telephone_number": "217-876-5366",
            "fax_number": "217-876-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "address_2": "DECATUR MEMORIAL HOSPITAL",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-8121",
            "fax_number": "217-876-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDER",
        "first_name": "MARIE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "RN, LAPN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.