What is Mckennizie Boodram's NPI number?

Mckennizie Boodram's National Provider Identifier (NPI) is 1033586003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mckennizie Boodram's specialty?

Mckennizie Boodram is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).

Where is Mckennizie Boodram located?

Mckennizie Boodram's practice location on file with NPPES is 1525 Mountain Laurel Ln, Desoto, TX 75115-5394.

What is Mckennizie Boodram's phone number?

The practice phone number listed in the NPPES registry for Mckennizie Boodram is (469) 260-8872.

Is Mckennizie Boodram's NPI active?

Yes — Mckennizie Boodram's NPI (1033586003) is active in the NPPES registry as of the last update on 2015-08-26.

IndividualActive

Mckennizie Boodram, LAT

NPI 1033586003 · Contractor · Desoto, TX

Mckennizie Boodram, LAT is a Contractor provider in Desoto, TX (NPI 1033586003).

Provider details

NPI number: 1033586003
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: LAT
Sex: Female
Sole proprietor: No
License: AT6271 (TX)

Specialties & taxonomies

ContractorPrimary171W00000XLicense AT6271 (TX)
Other Service Providers

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1525 Mountain Laurel Ln

Desoto, TX 75115-5394

Phone: (469) 260-8872

Street-level locationGet directions

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Mailing address