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Active NPI 1205913845 Individual Practitioner Female Practitioner

Carol A. Park , LPC, RD, LD, CEDRED

Dietitian, Registered • Richardson, TX

Professional Overview & Biography Verified Profile Summary

Carol Park, LPC, RD, LD, CEDRED is a registered healthcare professional specializing in Dietitian, Registered in Richardson, TX. Practice services are available at 1702 N. COLLINS BLVD. STE 207 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1702 N. Collins Blvd. Ste 207

Richardson, TX 750803550

Telephone 4693249744
Fax 9725912943

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Richardson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
32 Specialists

Practicing in Richardson, TX (5148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-24
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT02795

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License TX 66588

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License TX 66588

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 24, 2020

Registered at 1702 N. COLLINS BLVD. STE 207, RICHARDSON, TX 750803550 (Tel: 4693249744)

📍
Updated Business Mailing Address August 24, 2020

Registered at 1702 N COLLINS BLVD STE 207, RICHARDSON, TX 750803550 (Tel: 4693249744)

👤
Provider Name / Credentials Updated August 24, 2020

Recorded as CAROL PARK, LPC, RD, LD, CEDRED

NPI Profile Active July 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2010

Registered at 2099 N COLLINS BLVD, SUITE 100, RICHARDSON, TX 750802698 (Tel: 9724374698)

📍
Updated Business Mailing Address July 26, 2010

Registered at 2099 N COLLINS BLVD, SUITE 100, RICHARDSON, TX 750802698 (Tel: 9724374698)

👤
Provider Name / Credentials Updated July 26, 2010

Recorded as CAROL PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2010

Counselor (License #66588 in TX)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205913845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: August 24, 2020
Sole Proprietor: Yes

Mailing Address

1702 N Collins Blvd Ste 207

Richardson, TX 750803550

Phone: 4693249744

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.