Individual provider Active NPI

Susan Boekel, RDN, LDN

  • Registered Dietitian
  • Watkinsville, GA
National Provider Identifier
1376090415
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD001047 Issued in GA
Practice address
1026 Twelve Oaks PL Ste a
Watkinsville, GA 30677-4917
Phone
(404) 725-0808
Fax
(855) 449-4606
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 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 LD001047 GA Primary

Addresses

Primary practice location

1026 Twelve Oaks PL Ste a
Watkinsville, GA 30677-4917

Mailing address

515 Lukes Still Rd
Franklin, NC 28734-2416
Phone (404) 725-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180716003162 GA Practitioner - Registered Dietitian Or Nutrition Professional 1759637556 Reassigns benefits to 1 organization
I20240702000584 TX Practitioner - Registered Dietitian Or Nutrition Professional 1759637556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ingrid Knight, Rd and Associates, IncGroup PAC ID 4183868326, 4 clinicians

Practice addresses (Care Compare)

1026 Twelve Oaks PL
Suite a
Watkinsville, GA 30677-4917
Phone (404) 725-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD001047GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ingrid Knight, Rd and Associates, Inc. Dietitian, Registered CurrentSince Jan 15, 2018 Accepting new patients
Cherokee Indian Hospital Authority Current Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Mar 21, 2024 Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Mar 21, 2024 Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
Ikrdconsulting LLC Dietitian, Registered PastSince May 18, 2025 Accepting new patients

Locations

1026 Twelve Oaks Pl
Ste A
Watkinsville, GA 30677
Phone (404) 907-7026

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376090415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 LUKES STILL RD",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287342416",
            "telephone_number": "404-725-0808",
            "fax_number": "855-449-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 TWELVE OAKS PL STE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774917",
            "telephone_number": "404-725-0808",
            "fax_number": "855-449-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKEL",
        "first_name": "SUSAN",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.