Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mckennizie Boodram, LAT

Contractor in Desoto, TX · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033586003

Verified

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Registry record

Entity type Individual (Type 1)

Name Mckennizie Boodram

Credential LAT

Sex Female

Practice address 1525 Mountain Laurel Ln, Desoto, TX, 75115

Phone (469) 260-8872

Enumeration date Aug 26, 2015

Last updated in NPPES Aug 26, 2015

Taxonomy & licenses

171W00000X Contractor Other Service Providers · License AT6271 (TX) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Mckennizie Boodram practice?

The practice location on file with NPPES is in Desoto, TX. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Mckennizie Boodram?

The National Provider Identifier (NPI) for Mckennizie Boodram is 1033586003, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-26.