Individual provider Active NPI

Katherine Marie Churchwell

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1154834323
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135236 Issued in TX
Practice address
4453 Main St Ste 320
Frisco, TX 75034-4431
Phone
(469) 649-9911
Fax
(469) 947-6114
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135236 TX Primary

Addresses

Primary practice location

4453 Main St Ste 320
Frisco, TX 75034-4431

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114004835 TX Practitioner - Nurse Practitioner 9436683257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Texas PAGroup PAC ID 6507209129, 22 clinicians

Practice addresses (Care Compare)

9833 N Fwy
Suite 121
Fort Worth, TX 76177-7176
Phone (682) 324-3188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135236TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Nov 6, 2024 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Nov 6, 2024 Accepting new patients
Ivx Health of Texas P.a. CurrentSince Jun 16, 2025 Accepting new patients

Locations

981 State Highway 121
Ste 1140
Allen, TX 75013
Phone (469) 697-5100

1400 E Whitestone Blvd
Ste 400
Cedar Park, TX 78613
Phone (512) 640-5200

3410 N Interstate 35
Ste 106
Denton, TX 76201
Phone (817) 719-0595

9833 North Fwy
Ste 121
Fort Worth, TX 76177
Phone (469) 947-6114

4453 Main St
Ste 320
Frisco, TX 75034
Phone (469) 649-9911

701 Tuscan Dr
Ste 110
Irving, TX 75039
Phone (214) 496-1100

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

280 Adriatic Pkwy
McKinney, TX 75072
Phone (469) 697-5100

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

4701 W Park Blvd
Ste 107
Plano, TX 75093
Phone (214) 822-2230

480 W Southlake Blvd
Ste 115
Southlake, TX 76092
Phone (817) 416-2221

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1154834323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2200",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 MAIN ST STE 320",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344431",
            "telephone_number": "469-649-9911",
            "fax_number": "469-947-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHWELL",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.