SUSAN BOEKEL RDN, LDN - NPI 1376090415 - Dietitian, Registered in Watkinsville, GA

Q: What is Susan Boekel's NPI number?

The NPI number for Susan Boekel is 1376090415. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is Susan Boekel's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Boekel was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Susan Boekel Rdn, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN BOEKEL RDN, LDN (NPI 1376090415) is an individual dietitian, registered in Watkinsville, Georgia, licensed in Georgia (LD001047) and active in the NPI registry since September 2016. She is a graduate of Other (1982).

NPPES Registry Identity

NPI1376090415

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSUSAN BOEKELCredential: RDN, LDN

Location Address1026 TWELVE OAKS PL STE AWatkinsville, GA 30677-4917

Mailing Address1026 Twelve Oaks Pl Ste AWatkinsville, GA 30677-4917 · (404) 725-0808 · Fax (855) 449-4606

Phone(404) 725-0808

Fax(855) 449-4606

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateSeptember 7, 2016

Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1376090415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in GA · LD001047

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1026 TWELVE OAKS PL STE A, Watkinsville, GA 30677

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Boekel Rdn, Ldn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759637556

PECOS Enrollment IDI20180716003162

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INGRID KNIGHT RD

Dietitian, Registered