RUSTIC ROOTS FAMILY CARE PLLC
NPI 1124934948
Nurse Practitioner - Family in Longview, TX
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 holds a CLIA Waiver certificate valid through September 13, 2028 and lists Carl Cini, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2350637
Rustic Roots Family Care PLLC · Longview, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Does Rustic Roots Family Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2350637) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rustic Roots Family Care PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Rustic Roots Family Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 39 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.
# Rustic Roots Family Care Pllc · NPI 1124934948
Family organization in Longview, Texas. Organization record, active in the CMS NPPES registry since August 21, 2026.
## Identity
- **NPI:** 1124934948 (Entity type: Organization)
- **Enumerated:** August 21, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Carl Cini, PRESIDENT
## Practice location
- **Address:** 1328 HERITAGE BLVD, Longview, TX 75605-1472
- **Phone:** (903) 228-2728
## Record status
- **NPPES last updated:** October 1, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1124934948) · Data from the CMS NPPES public registry.