Victoria C Park, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

814271 Issued in TX

Practice address

2300 W Morton St Ste 114
Denison, TX 75020-1671

Phone

(903) 462-4085

Fax

(817) 578-3098

NPI assigned

Aug 12, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J & T Park Enterprises, LTD.

  • Registered Dietitian
  • Pottsboro, TX
  • NPI 1457614612

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1356573166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MORTON ST STE 114",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201671",
            "telephone_number": "903-462-4085",
            "fax_number": "817-578-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MORTON ST STE 114",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201671",
            "telephone_number": "903-462-4085",
            "fax_number": "817-578-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "VICTORIA",
        "middle_name": "C",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "814271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedics Texoma, L.L.C.
• Lydia Estelle Osterman, AGACNP
• Bryan Owens, RPH
• Janie Oyakawa, OTR
• Miguel Palou
• James Timothy Parker, MD
• Madeleine Madonna Parker, SLP-I
• Melinda Hudson Parker, DDS
• Madison Partain, PT, DPT
• Tanya Paschen

• Registered Dietitian in Denison, TX
• Providers in Denison, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.