MARY CHURCHMAN RD, LDN
NPI 1457247751
Dietitian, Registered in Plano, TX
About Mary Churchman Rd, Ldn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CHURCHMAN RD, LDN (NPI 1457247751) is an individual dietitian, registered in Plano, Texas, licensed in Texas (DT92237) and active in the NPI registry since June 2025. She is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Churchman Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Churchman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plano, TX 75093
- Reassigned Medicare billing, Texas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Churchman's NPI number?
The NPI number for Mary Churchman is 1457247751. It was assigned to this individual provider in the NPPES registry on June 16, 2025.
Where is Mary Churchman located?
Mary Churchman practices at 1400 Preston Rd Ste 400, Plano, TX 75093. The listed phone number is (502) 600-0004.
What is Mary Churchman's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Mary Churchman enrolled in Medicare?
Yes. Mary Churchman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Churchman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Churchman reassigns Medicare benefits to Mary Churchman, LLC (Plano, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Churchman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Churchman was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Mary Churchman, RD, LDN · NPI 1457247751
Dietitian, Registered provider in Plano, Texas. Individual provider, active in the CMS NPPES registry since June 16, 2025.
## Identity
- **NPI:** 1457247751 (Entity type: Individual)
- **Enumerated:** June 16, 2025
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DT92237 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1400 PRESTON RD STE 400, Plano, TX 75093-5189
- **Phone:** (502) 600-0004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Mary Churchman, LLC (NPI 1205722907, Plano, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457247751) · Data from the CMS NPPES public registry.