Active NPI
Rebecca Wheat Fuller, R.D.L.D.
- Registered Dietitian
- Sugar Land, TX
National Provider Identifier
1578678199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT04457
- Practice address
- 1930 Country Club Blvd
Sugar Land, TX 77478-3910 - Phone
- (281) 242-2368
- Fax
- (281) 242-7894
- NPI assigned
- Aug 21, 2006
- Last updated
- Jul 8, 2007
- 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 | DT04457 | TX | Primary |
Addresses
Primary practice location
1930 Country Club Blvd
Sugar Land, TX 77478-3910
Mailing address
1930 Country Club Blvd
Sugar Land, TX 77478-3910
Phone (281) 242-2368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT04457 | Other | TX | LD NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT04457 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578678199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 COUNTRY CLUB BLVD",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783910",
"telephone_number": "281-242-2368",
"fax_number": "281-242-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 COUNTRY CLUB BLVD",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783910",
"telephone_number": "281-242-2368",
"fax_number": "281-242-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "REBECCA",
"middle_name": "WHEAT",
"name_prefix": "Ms.",
"credential": "R.D.L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT04457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LD NUMBER",
"identifier": "DT04457",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
- Shen Kang Fu, PHD
- Fuc PHS LLC (FUC PHS Pharmacy)
- Jennifer Nicole Fucik
- Leslie Fuentes
- Fujik Healthcare Services Inc (St Charles Home Health Solution)
- Karen Peeler Fulton, M.S., CCC-SLP
- Tracie P Fulton, CPT
- Alexandra Funchess, LCSW
- Functional Medicine & Wellness Associates PLLC
- Functional Therapy Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.