Individual provider Active NPI

Rosa Lourdes Becerra-Soberon, RD, LD/N

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1679650592
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2716 Issued in FL
Practice address
1815 Country LN
Durham, NC 27713-6451
Phone
(305) 878-0656
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 2716 FL Primary

Addresses

Primary practice location

1815 Country LN
Durham, NC 27713-6451

Mailing address

1244 SW 14TH St
Miami, FL 33145-1644
Phone (305) 878-0656

Other names 1

  • Rosa Lourdes Becerra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IN, WI, NY, MA, CT, OR, VT, TX9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20200124002120 NC Practitioner - Registered Dietitian Or Nutrition Professional 5799110581 Reassigns benefits to 1 organization
I20230515000151 IN Practitioner - Registered Dietitian Or Nutrition Professional 5799110581 Reassigns benefits to 1 organization
I20230523002717 WI Practitioner - Registered Dietitian Or Nutrition Professional 5799110581
I20230525000299 NY Practitioner - Registered Dietitian Or Nutrition Professional 5799110581
I20230525000564 MA Practitioner - Registered Dietitian Or Nutrition Professional 5799110581
I20230531003153 CT Practitioner - Registered Dietitian Or Nutrition Professional 5799110581
I20230619000309 OR Practitioner - Registered Dietitian Or Nutrition Professional 5799110581 Reassigns benefits to 1 organization
I20230621001348 VT Practitioner - Registered Dietitian Or Nutrition Professional 5799110581 Reassigns benefits to 1 organization
I20240129003434 TX Practitioner - Registered Dietitian Or Nutrition Professional 5799110581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2716FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners Wisconsin, SC Dietitian, Registered CurrentSince Feb 10, 2023 Accepting new patients
Openloop Healthcare Partners New Jersey PC Dietitian, Registered CurrentSince Feb 9, 2023 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince Dec 27, 2023 Accepting new patients
Openloop Healthcare Partners California PC Dietitian, Registered Current Accepting new patients
Openloop Healthcare Partners Colorado, PC Dietitian, Registered CurrentSince Feb 8, 2023 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Feb 8, 2023 Accepting new patients
Thrive Health Holdings, Inc. Dietitian, Registered PastSince Nov 30, 2025 Accepting new patients
Thrive Health Holdings, Inc. Dietitian, Registered PastSince Sep 3, 2025 Accepting new patients
Gnusllc Dietitian, Registered PastSince Sep 13, 2020 Accepting new patients
Rd Nutrition Associates Dietitian, Registered Past Accepting new patients

Locations

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

515 S Flower St
#1015
Los Angeles, CA 90071

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

260 Peachtree St NW
Atlanta, GA 30303
Phone (404) 566-1278

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

400 E Pratt St
Fl 8
Baltimore, MD 21202
Phone (410) 505-0521

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229

101 Hudson St
Fl 21
Jersey City, NJ 07302
Phone (201) 706-7135

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189

Organizations & group practices 11

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1679650592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 SW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451644",
            "telephone_number": "305-878-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 COUNTRY LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136451",
            "telephone_number": "305-878-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA-SOBERON",
        "first_name": "ROSA",
        "middle_name": "LOURDES",
        "credential": "RD, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "BECERRA",
            "middle_name": "LOURDES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.