Individual provider Active NPI

Amy Lucas, RDN, LD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1174063796
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT81710 Issued in TX
Practice address
5900 Balcones Dr Ste 10069
Austin, TX 78731-4257
Phone
(713) 588-6222
Fax
(855) 731-1379
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 DT81710 TX Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 10069
Austin, TX 78731-4257

Mailing address

5900 Balcones Dr Ste 10069
Austin, TX 78731-4257
Phone (713) 588-6222

Other practice location 1

3511 Shore Shadows Dr
Crosby, TX 77532-7221
Phone (713) 588-6222

Other practice location 2

630 Many Oaks St
San Antonio, TX 78232-2727
Phone (713) 588-6222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@chefcraftednutrition.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210406000596 TX Practitioner - Registered Dietitian Or Nutrition Professional 5698051639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT81710TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition in Motion Dietitian, Registered PastSince Jan 1, 2021 Accepting new patients

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1174063796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 10069",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "713-588-6222",
            "fax_number": "855-731-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 10069",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "713-588-6222",
            "fax_number": "855-731-1379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3511 Shore Shadows Dr",
            "address_purpose": "LOCATION",
            "city": "Crosby",
            "state": "TX",
            "postal_code": "775327221",
            "country_code": "US",
            "telephone_number": "713-588-6222",
            "fax_number": "855-731-1379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Many Oaks St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782322727",
            "country_code": "US",
            "telephone_number": "713-588-6222",
            "fax_number": "855-731-1379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "AMY",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@chefcraftednutrition.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5900 Balcones Dr Ste 10069",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787314257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.