Individual provider Active NPI

Courtney Lavey Rulon, FNP-C

  • Family Nurse Practitioner
  • Celina, TX
National Provider Identifier
1861901894
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135168 Issued in TX
Practice address
101 S Colorado St
Celina, TX 75009-6439
Phone
(972) 244-3508
Fax
(214) 807-0337
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135168 TX Primary

Addresses

Primary practice location

101 S Colorado St
Celina, TX 75009-6439

Mailing address

PO Box 643
Celina, TX 75009-0643
Phone (722) 443-5089

Other identifiers 1

IdentifierTypeStateIssuer
AP135168OtherTXTEXAS BOARD OF NURSING

Other names 1

  • Miss Courtney Faith Lavey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130003196 TX Practitioner - Nurse Practitioner 2668739558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135168TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Urgent Care PA CurrentSince Mar 1, 2020 Accepting new patients

Locations

1640 Lake Woodlands Dr
Ste E
The Woodlands, TX 77380
Phone (281) 367-0010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1861901894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750090643",
            "telephone_number": "722-443-5089",
            "fax_number": "214-807-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S COLORADO ST",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750096439",
            "telephone_number": "972-244-3508",
            "fax_number": "214-807-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULON",
        "first_name": "COURTNEY",
        "middle_name": "LAVEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP135168",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LAVEY",
            "middle_name": "FAITH",
            "prefix": "MISS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Celina, TX

Sources for this page

Verify at the official NPI Registry.