Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RUSTIC ROOTS FAMILY CARE PLLC
NPI 1124934948
Nurse Practitioner - Family in Longview, TX

Active since August 21, 2026
1328 HERITAGE BLVD, LONGVIEW, TX 75605(903) 228-2728 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Sep 4, 2026, Aug 21, 2026 (3 updates tracked since 2026).

About Rustic Roots Family Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSTIC ROOTS FAMILY CARE PLLC (NPI 1124934948) is a healthcare organization registered as a family in Longview, Texas and active in the NPI registry since August 2026. The organization lists Carl Cini, President, as its authorized official.

NPPES Registry Identity

NPI1124934948
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRUSTIC ROOTS FAMILY CARE PLLC
Location Address1328 HERITAGE BLVDLongview, TX 75605-1472
Mailing AddressPo Box 162White Oak, TX 75693-0162 · (903) 228-2728
Organization SubpartNo
Authorized OfficialCarl CiniPresident · (903) 228-2728
Enumeration DateAugust 21, 2026
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1124934948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1328 HERITAGE BLVD, Longview, TX 75605

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Psychiatric/Mental Health)
1328 HERITAGE BLVD
LONGVIEW, TX 75605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rustic Roots Family Care PLLC's NPI number?

The NPI number for Rustic Roots Family Care PLLC is 1124934948. It was assigned to this organization in the NPPES registry on August 21, 2026.

Where is Rustic Roots Family Care PLLC located?

Rustic Roots Family Care PLLC is located at 1328 Heritage Blvd, Longview, TX 75605. The listed phone number is (903) 228-2728.

What is Rustic Roots Family Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rustic Roots Family Care PLLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.