Active NPI
Amy Lucas, RDN, LD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1174063796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81710
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | support@chefcraftednutrition.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210406000596 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 5698051639 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81710 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Motion | Dietitian, Registered | Past | 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.