MRS. COLLEEN ELIZABETH PARKS (MS, RD, LD) – Registered Dietitian, NPI 1205933389
Registered Dietitian
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. COLLEEN ELIZABETH PARKS (MS, RD, LD)
Children's Medical Center of Dallas, 1935, Medical District Drive, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States
CLINICAL NUTRITION
DALLAS, TX 752357701
Phone: (214) 456-2925
Fax: (214) 456-6287
Type: Location
210, Hummingbird Lane, Duncanville, Dallas County, Texas, 75137, United States
DUNCANVILLE, TX 751373109
Phone: (972) 298-1973
Type: Mailing
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-6483
Fax: (682) 885-3113
Type: Mailing
801 7TH AVE
FORT WORTH, TX 761042733
Phone: (682) 885-4040
Fax: (682) 885-4611
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241029003467 | I | Registered Dietitian Or Nutrition Professional | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75235)
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