Active NPI
Mary Churchman, LLC
- Registered Dietitian
- Plano, TX
National Provider Identifier
1205722907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MARY CHURCHMAN, LLC
- Practice address
- 1400 Preston Rd Ste 400
Plano, TX 75093-5189 - Phone
- (972) 275-6144
- NPI assigned
- Jun 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Churchman, RD
- Title
- Owner
- Phone
- (972) 275-6144
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1400 Preston Rd Ste 400
Plano, TX 75093-5189
Mailing address
PO Box 251754
Plano, TX 75025-1517
Other names 1
- Mary Churchman, RD, LDN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1205722907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251754",
"city": "PLANO",
"state": "TX",
"postal_code": "750251517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PRESTON RD STE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750935189",
"telephone_number": "972-275-6144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY CHURCHMAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-17",
"last_updated": "2025-08-04",
"certification_date": "2025-06-19",
"status": "A",
"authorized_official_last_name": "CHURCHMAN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-275-6144",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mary Churchman, RD, LDN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mary Churchman, RD, LDN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.