{"npi":"1164565446","type":"NPI-2","status":"active","name":{"display":"Lucille Beseler Ld Rd PA","other":[],"organization_name":"LUCILLE BESELER LD RD PA","authorised_official":"Lucille Beseler"},"specialty":{"primary_taxonomy":"133VN1004X","primary_taxonomy_description":"Pediatric Nutrition Registered Dietitian","slug":"pediatric-nutrition-registered-dietitian","schema_org_specialty":null,"all":[{"code":"133VN1004X","description":"Pediatric Nutrition Registered Dietitian","primary":true,"state":"FL","license":"N2042"}]},"addresses":[{"purpose":"LOCATION","street_1":"20483 VIA MARISA","city":"BOCA RATON","state":"FL","postal_code":"334986708","country_code":"US","phone":"9543607883","fax":"9543607884"},{"purpose":"MAILING","street_1":"20483 VIA MARISA","city":"BOCA RATON","state":"FL","postal_code":"334986708","country_code":"US","phone":"9543607883","fax":"9543607884"}],"license":{"state":"FL","number":"N2042"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"681581296","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120214000749","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"1759477227"}]},"enumeration_date":"2007-02-15","last_updated":"2026-01-05","_meta":{"source":"NPPES","snapshot_date":"2026-01-05","doc_url":"https://findmynpi.com/api"}}