Cristin Sparks Dicken, MS

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

12200 Preston Rd
Dallas, TX 75230-2200

Phone

(972) 560-2667

NPI assigned

Mar 28, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1922758291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302200",
            "telephone_number": "972-560-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302200",
            "telephone_number": "972-560-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEN",
        "first_name": "CRISTIN",
        "middle_name": "SPARKS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Nicholas Dibello III, MD
• Teedzai Dibi
• Daniel J Dibona, MD
• Jan D Dice, LPC
• Elizabeth Dick, LCSW
• James Lavelle Dickens, DNP, APRN, FNP-BC
• Richard Dickerman, M.D.
• Amanda Dickerson
• Ambrea Nicole Dickerson
• Austin R Dickerson, DO

• Clinical Exercise Physiologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Exercise Physiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.