Mary Churchman, LLC
NPI 1205722907ActiveOrganization· Dietitian, Registered· Plano, TX
Dietitian, Registered in Plano, Texas, registered in NPPES in June 2025. The authorized official on file is Mary Churchman, RD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205722907 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2025 |
| Last updated in NPPES | Aug 4, 2025 |
| Certified by provider | Jun 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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