P Praxis·MD
● Active Type 1 · Individual

Renella Boullion, APRN, FNP-BC

Nurse Practitioner·Livingston, TX· NPI 1003442906 · Enumerated 2020 · 6 years on NPI
Boullion is 1 of 2 nurse practitioner providers in Livingston and 1 of 2256 in Texas.
NPI age
6 years
Enumerated 2020-03-23
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2256 active nurse practitioner providers in Texas.

NPI age
6 years
↓ 4 yr below median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-03Enumerated in NPPES
2020 2026

Where they practice

Practice location
400 Ogletree Dr
Livingston, TX 773516783
📞 9363288812
Mailing address
400 Ogletree Dr
Livingston, TX 773516783
📞 9363288812

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP145643 taxonomy 363LP0200X

Identifiers

TypeValueNotes
05 (TX) AP145643
01 (TX) AP145643 PRIVATE INSURANCE

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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