Individual provider Active NPI

Elissa Ruth Lueckemeyer, RD, LD

  • Registered Dietitian
  • New Braunfels, TX
National Provider Identifier
1134427909
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81691 Issued in TX
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

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DT81691OtherTXLD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424002672 TX Practitioner - Registered Dietitian Or Nutrition Professional 0042552945 Reassigns benefits to 1 organization
Practice locations: New Braunfels, TX

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
Food 4 SuccessGroup PAC ID 2769899962, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Food 4 Success Dietitian, Registered CurrentSince Jan 1, 2021 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.

Verify at the official NPI Registry.