Active NPI
Lucille Beseler LD Rd PA
- Pediatric Nutrition Registered Dietitian
- Boca Raton, FL
National Provider Identifier
1164565446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- N2042
- Legal business name
- LUCILLE BESELER LD RD PA
- Practice address
- 20483 Via Marisa
Boca Raton, FL 33498-6708 - Phone
- (954) 360-7883
- Fax
- (954) 360-7884
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucille Beseler
- Title
- Owner
- Phone
- (954) 360-7883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | N2042 | FL | Primary |
Addresses
Primary practice location
20483 Via Marisa
Boca Raton, FL 33498-6708
Mailing address
20483 Via Marisa
Boca Raton, FL 33498-6708
Phone (954) 360-7883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 681581296 | Medicaid | FL |
Other names 1
- Family Nutrition Center of South Florida
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5350 W Hillsboro Blvd
Ste 105
Coconut Creek, FL 33073
Phone (954) 360-7883
15715 S Dixie Hwy
Ste 200
Miami, FL 33157
Phone (954) 360-7883
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Boca Raton, FL
- NPI 1336172865
-
- Registered Dietitian
- Weston, FL
- NPI 1154577542
-
- Nutrition Education Nutritionist
- Margate, FL
- NPI 1275602971
-
- Registered Dietitian
- Coconut Creek, FL
- NPI 1861930349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1164565446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20483 VIA MARISA",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986708",
"telephone_number": "954-360-7883",
"fax_number": "954-360-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20483 VIA MARISA",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986708",
"telephone_number": "954-360-7883",
"fax_number": "954-360-7884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCILLE BESELER LD RD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A",
"authorized_official_last_name": "BESELER",
"authorized_official_first_name": "LUCILLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-360-7883"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "FL",
"license": "N2042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "681581296",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Nutrition Center of South Florida",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.