NPIMap

Organization Active NPI

Food 4 Success

  • Registered Dietitian
  • New Braunfels, TX
National Provider Identifier
1457940108
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
FOOD 4 SUCCESS
Practice address
1067 FM 306 Ste 404
New Braunfels, TX 78130-6895
Phone
(210) 439-1714
Fax
(830) 730-5652
NPI assigned
Jan 15, 2021
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
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

Authorized official

Name
Elissa Lueckemeyer, RDN, LDNPI 1134427909
Title
Owner
Phone
(210) 439-1714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 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
O20210407000090 TX Part B Supplier - Clinic/Group Practice 2769899962 Receives reassigned benefits from 6 practitioners
Practice locations: New Braunfels, TX; Seguin, TX

National Provider Directory

National Provider Directory

Locations

100 Conifer Hill Dr
Ste 405
Danvers, MA 01923
Phone (978) 355-8664

1067 FM 306
Ste 404
New Braunfels, TX 78130
Phone (210) 439-1714

2115 Stephens Pl
Ste 400B
New Braunfels, TX 78130
Phone (210) 439-1714

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1457940108",
    "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": {
        "organization_name": "FOOD 4 SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "LUECKEMEYER",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-439-1714",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.