DEANNE MARIE MARSELLE (NPI# 1043340110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043340110 |
| Entity Type | Individual |
| Full Name | DEANNE MARIE MARSELLE |
| Credential | RD |
| Practice Address |
13400 Lakefront Dr Earth City MO 63045-1516 |
| Practice Telephone | 3142912900 |
| Mailing Telephone | 3142912900 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 2005037494 | MO | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 164.004365 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | AETNA | 1043340110 | 01 |
| REGISTERED DIETITIAN | 721252 | 01 | |
| MO | RAILROAD MEDICARE | P01123177 | 01 |
| MO | ESSENCE | 1043340110 | 01 |
| MO | COVENTRY HEALTHCARE | 1043340110 | 01 |
| MO | CIGNA | 1043340110 | 01 |
| IL | STATE LICENSE | 164.004365 | 01 |
| MO | WELLCARE OF MISSOURI | 1043340110 | 01 |
| Street Address |
13400 LAKEFRONT DR |
| City | EARTH CITY |
| State | MO |
| Zip Code | 63045-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861674871 | Advanced Medical Solutions LLC | Dietitian, Registered | 13400 Lakefront Dr, Earth City, MO 63045-1516 | 2007-11-30 |
| 1528274875 | Midwest Medical Supply Co LLC | Durable Medical Equipment & Medical Supplies | 13400 Lakefront Dr, Aos, Earth City, MO 63045-1516 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609264803 | Brittney Nicole Lager | Pharmacist | 4010 Wedgeway Court, Earth City, MO 63045 | 2014-12-23 |
| 1326222035 | Wheelchair Professionals LLC | Durable Medical Equipment & Medical Supplies | 514 Earth City Plaza, Ste 100, Earth City, MO 63045 | 2007-12-18 |
| 1588665814 | Dsi Midwest Associates, LLC | Durable Medical Equipment & Medical Supplies | 13410 Lakefront Drive, Earth City, MO 63045 | 2005-08-09 |
| 1205831963 | Foundation Care LLC | Durable Medical Equipment & Medical Supplies | 4010 Wedgeway Ct, Earth City, MO 63045 | 2005-06-17 |
| 1215331780 | Gayle Preckel | Pharmacist | 3795 Corporate Centre Dr, Earth City, MO 63045-1130 | 2014-10-13 |
| 1568537009 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 13709 Rider Trl N, Earth City, MO 63045-1205 | 2006-11-21 |
| 1700120607 | Brandon Salke | Pharmacist | 4060 Wedgeway Ct, Earth City, MO 63045-1213 | 2012-11-15 |
| 1760484000 | Michael A Schultz | Pharmacist | 4010 Wedgeway Ct, Earth City, MO 63045-1213 | 2005-06-01 |
| 1487298881 | Foundation Care LLC | Pharmacy | 4010 Wedgeway Ct, Earth City, MO 63045-1213 | 2019-10-30 |
| 1952828642 | Rachel Wiechert | Pharmacist | 4010 Wedgeway Ct, Earth City, MO 63045-1213 | 2017-08-24 |
| Find all providers in zip 63045 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861674871 | Advanced Medical Solutions LLC | Dietitian, Registered | 13400 Lakefront Dr, Earth City, MO 63045-1516 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1407453392 | Susan Shaffer | Dietitian, Registered | 4213 Sw Sapelo Dr, Lees Summit, MO 64082-5016 | 2020-10-05 |
| 1891302014 | Sarah Whitehead | Dietitian, Registered | 22665 Hanley Ln Apt B, Saint Robert, MO 65584-9537 | 2020-09-30 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1275149841 | Kendall Stagner | Dietitian, Registered | 1 Martin Dr, Agency, MO 64401-9110 | 2020-09-19 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1225642283 | Elizabeth Arensberg | Dietitian, Registered | 6433 Valley Rd, Kansas City, MO 64113-1555 | 2020-09-07 |
| 1952915001 | Melissa Coker | Dietitian, Registered | 1122 Gibraltar Point Dr, Saint Charles, MO 63304-5037 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
| City | EARTH CITY |
| Zip Code | 63045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.