Individual provider Active NPI

Lucille Beseler, MS, RD, LD/N

  • Registered Dietitian
  • Boca Raton, FL
National Provider Identifier
1336172865
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND2042 Issued in FL
Practice address
20483 Via Marisa
Boca Raton, FL 33498-6708
Phone
(954) 360-7883
NPI assigned
Jul 8, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 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 ND2042 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 4

IdentifierTypeStateIssuer
681581296MedicaidFL
4533713OtherFLAETNA
215435OtherFLAMERIGROUP
N0016OtherFLBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000781 FL Practitioner - Registered Dietitian Or Nutrition Professional 9638251051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
New York University Medical College - NLG, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20483 Via Marisa
Boca Raton, FL 33498-6708
Phone (954) 360-7883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND2042FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lucille Beseler LD Rd PA CurrentSince Jan 1, 2002 Accepting new patients

Locations

5350 W Hillsboro Blvd
Ste 105
Coconut Creek, FL 33073
Phone (954) 360-7883

5901 Colonial Dr
Ste 108
Margate, FL 33063
Phone (315) 474-0240

15715 S Dixie Hwy
Ste 200
Miami, FL 33157
Phone (954) 360-7883

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1336172865",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESELER",
        "first_name": "LUCILLE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND2042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681581296",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4533713",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "215435",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N0016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.