MARY CHURCHMAN RD, LDN
NPI 1457247751
Dietitian, Registered in Plano, TX

Q: 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.

Q: What is Mary Churchman'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 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 11 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.

Active since June 16, 2025

1400 PRESTON RD STE 400, PLANO, TX 75093(502) 600-0004 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Jun 19, 2025 (2 updates tracked since 2025).

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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

NPI1457247751

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMARY CHURCHMANCredential: RD, LDN

Location Address1400 PRESTON RD STE 400Plano, TX 75093-5189

Mailing AddressPo Box 251754Plano, TX 75025-1517 · (972) 275-6144

Phone(502) 600-0004

Sole ProprietorYes

Medical School CMSOtherGraduated 1987

Enumeration DateJune 16, 2025

Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1457247751 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 TX · DT92237

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.

1400 PRESTON RD STE 400, Plano, TX 75093

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Churchman Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810497708

PECOS Enrollment IDI20250924003988

Other Providers at the Same Location NPPES 13

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

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