Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nissa Fuller, PHD, RD, CSG

Individual provider Registered Dietitian · NPI 1700343910

Nissa Fuller, PHD, RD, CSG is a Registered Dietitian in Fort Sam Houston, Texas. Licensed in Indiana, Maryland and Texas. Registered with an NPI since 2019.

Licensed in
IN, MD, TX
In the registry since
2019
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT88296 (TX)
Registered Dietitian Taxonomy 133V00000X · Licence 37003451A (IN)
Registered Dietitian Taxonomy 133V00000X · Licence DX4280 (MD)

Record details

NPI number1700343910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , RD , CSG
Sole proprietorNo
NPI enumeratedFebruary 24, 2019
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 6, 2025
Mailing addressBrooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234

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