Active NPI
Mary Pickler, MS, RD, LD
- Registered Dietitian
- Waco, TX
National Provider Identifier
1063391282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT88857
- Practice address
- 601 Franklin Ave Apt 3a
Waco, TX 76701-2057 - Phone
- (803) 920-4881
- NPI assigned
- Sep 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT88857 | TX | Primary |
Addresses
Primary practice location
601 Franklin Ave Apt 3a
Waco, TX 76701-2057
Mailing address
10412 China Spring Road
Ste F PMB 1143
Waco, TX 76708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT88857 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1063391282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10412 CHINA SPRING ROAD",
"address_2": "STE F PMB 1143",
"city": "WACO",
"state": "TX",
"postal_code": "76708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 FRANKLIN AVE APT 3A",
"city": "WACO",
"state": "TX",
"postal_code": "767012057",
"telephone_number": "803-920-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKLER",
"first_name": "MARY",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-01",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
- Phoenix Care LLC
- Physician Assistant Services of Texas L.L.P
- Physicians Management Services LLC (Injury 1 Treatment Center)
- Physicians Surgery Center of Waco (Waco Surgicenter, LLC)
- Catherine Ann Piar, PTA
- Matthew Charles Piechoski, ATC, CES
- Kelley Pierce, LPC
- Raymond Pierre
- Vanessa Lynn Pierson
- Darrell R Pietsch, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.