FUNCTIONAL RD, LLC
NPI 1932627312
Dietitian, Registered in San Antonio, TX

Active since September 06, 2017
11107 WURZBACH RD, SAN ANTONIO, TX 78230(210) 920-0669(210) 920-6645 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, Apr 1, 2024, Sep 5, 2018 (3 updates tracked since 2018).

About Functional Rd, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL RD, LLC (NPI 1932627312) is a healthcare organization registered as a dietitian, registered in San Antonio, Texas and active in the NPI registry since September 2017. The organization lists Aimee Elizabeth Senior, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1932627312
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameFUNCTIONAL RD, LLC
Location Address11107 WURZBACH RDSan Antonio, TX 78230-2500
Mailing Address14439 Nw Military Hwy Ste 108Shavano Park, TX 78231-1648 · (210) 920-0669 · Fax (210) 920-6645
Fax(210) 920-6645
Organization SubpartNo
Authorized OfficialAimee Elizabeth SeniorRegistered Dietitian · (210) 920-0669
Enumeration DateSeptember 6, 2017
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1932627312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT83404
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
11107 WURZBACH RD, San Antonio, TX 78230

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Functional Rd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Functional Rd, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Registered Dietitian or Nutrition Professional
NPI 1609225333
11107 WURZBACH RD
San Antonio, TX 78230
(210) 920-0669
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1467718817
5900 BALCONES DR STE 100
Austin, TX 78731
(512) 201-9021
✔ Accepts Medicare73 mi
Registered Dietitian or Nutrition Professional
NPI 1528548583
3805 22ND PL
Lubbock, TX 79410
(806) 687-5670
✔ Accepts Medicare341 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Rd, LLC's NPI number?

The NPI number for Functional Rd, LLC is 1932627312. It was assigned to this organization in the NPPES registry on September 6, 2017.

Where is Functional Rd, LLC located?

Functional Rd, LLC is located at 11107 Wurzbach Rd, San Antonio, TX 78230. The listed phone number is (210) 920-0669.

What is Functional Rd, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Functional Rd, LLC enrolled in Medicare?

Yes. Functional Rd, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Functional Rd, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Functional Rd, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Functional Rd, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Functional Rd, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Functional Rd, LLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.