Active NPI
Elissa Ruth Lueckemeyer, RD, LD
- Registered Dietitian
- New Braunfels, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81691
- Practice address
- 1067 FM 306 Ste 404
New Braunfels, TX 78130-6895 - Phone
- (210) 439-1714
- Fax
- (830) 730-5652
- NPI assigned
- Mar 3, 2011
- 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 | DT81691 | TX | Primary |
Addresses
Primary practice location
1067 FM 306 Ste 404
New Braunfels, TX 78130-6895
Mailing address
743 Cambridge Dr
New Braunfels, TX 78132-4333
Phone (210) 439-1714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT81691 | Other | TX | LD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1067 FM
306 Suite 404
New Braunfels, TX 78130-6895
Phone (210) 439-1714
1215 E Court St
GRMC Cardiac and Pulmonary Rehab
Seguin, TX 78155-5129
Phone (210) 439-1714
743 Cambridge Dr
New Braunfels, TX 78132-4333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Food 4 Success | Dietitian, Registered | Current | Accepting new patients |
Locations
2115 Stephens Pl
Ste 400B
New Braunfels, TX 78130
Phone (210) 439-1714
1067 FM 306
Ste 404
New Braunfels, TX 78130
Phone (210) 439-1714
Organizations & group practices 1
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": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1134427909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 CAMBRIDGE DR",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781324333",
"telephone_number": "210-439-1714",
"fax_number": "830-730-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 FM 306 STE 404",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781306895",
"telephone_number": "210-439-1714",
"fax_number": "830-730-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUECKEMEYER",
"first_name": "ELISSA",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LD",
"identifier": "DT81691",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.