Active NPI
Rosa Lourdes Becerra-Soberon, RD, LD/N
- Registered Dietitian
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2716
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IN, WI, NY, MA, CT, OR, VT, TX
Enrollment records 9
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2716 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners Wisconsin, SC | Dietitian, Registered | Current | Accepting new patients |
| Openloop Healthcare Partners New Jersey PC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Openloop Healthcare Partners California PC | Dietitian, Registered | Current | Accepting new patients |
| Openloop Healthcare Partners Colorado, PC | Dietitian, Registered | Current | Accepting new patients |
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| Thrive Health Holdings, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Thrive Health Holdings, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Gnusllc | Dietitian, Registered | Past | 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.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
IN, NC, OR, VT
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1598418063
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
Dietitian, Registered
-
- General Practice Physician
- Denver, CO
- NPI 1912678012
Dietitian, Registered
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
Dietitian, Registered
-
- General Practice Physician
- Madison, WI
- NPI 1083371629
Dietitian, Registered
-
- Registered Dietitian
- Pembroke Pines, FL
- NPI 1700088200
Dietitian, Registered
-
- Registered Dietitian
- Wilmington, DE
- NPI 1356186522
Dietitian, Registered
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.