NPI age
6 years
Enumerated 2020-03-23
● Active
Type 1 · Individual
Renella Boullion, APRN, FNP-BC
Boullion is 1 of 2 pediatrics (nurse practitioner) providers in Livingston and 1 of 2,294 in Texas.
Primary specialty
Pediatrics (Nurse Practitioner)
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-14
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2294 active pediatrics (nurse practitioner) providers in Texas.
NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2020 → 2022
2020-03Enumerated in NPPES
2020
2022
Where they practice
Practice location
400 Ogletree Dr
Livingston, TX 773516783
Mailing address
400 Ogletree Dr
Livingston, TX 773516783
Specialties
-
Nurse Practitioner PrimaryCMS NPPES uses NUCC taxonomy code 363LP0200X for provider records classified as Pediatrics within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 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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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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