JOHN FREDERICK PARK - NPI 1033623574 - Dietitian, Registered in Sterling, IL

Q: What is John Park's NPI number?

The NPI number for John Park is 1033623574. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Q: What is John Park's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for John Park was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

On this page

About John Frederick Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN FREDERICK PARK (NPI 1033623574) is an individual dietitian, registered in Sterling, Illinois, licensed in Illinois (164.007261) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1033623574

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameJOHN FREDERICK PARK

Location Address101 E MILLER RDSterling, IL 61081-1252

Mailing Address101 E Miller RdSterling, IL 61081-1252 · (815) 632-5285 · Fax (815) 632-5824

Phone(815) 632-5285

Fax(815) 632-5824

Sole ProprietorNo

Enumeration DateNovember 20, 2017

✔ NPI 1033623574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164.007261

Definition

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.

101 E MILLER RD, Sterling, IL 61081

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID R BRUCE M.D.

Otolaryngology (Sleep Medicine)