Bethany Lucas, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85692 Issued in TX

Practice address

2520 Longview St Ste 211
Austin, TX 78705-4201

Phone

(323) 637-4344

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bethany Pennock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tina Laboy Nutrition Therapy LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1205394939

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1023627973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BUCKSKIN TRL",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 LONGVIEW ST STE 211",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054201",
            "telephone_number": "323-637-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Buckskin Trl",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765023208",
            "country_code": "US",
            "telephone_number": "304-268-7233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "BETHANY",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "PENNOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benson Luc, CRNA
• Ana Maria Luca
• Alexis Ann Lucas, PA
• Amy Lucas, RDN, LD
• Ashlea Mica Lucas, PA-C
• Beverly D. Lucas, LMSW
• Colleen Lucas, RN
• Evelyn S Lucas
• Kara Lucas, LPC
• Lauren Lucas

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.