P Praxis·MD
● Active Type 1 · Individual

MRS. Kathileen Riley Boozer, CFNP

Dermatology·Waco, TX· NPI 1275892093 · Enumerated 2012 · 14 years on NPI
Boozer is 1 of 12 dermatology providers in Waco and 1 of 1632 in Texas.
NPI age
14 years
Enumerated 2012-05-14
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1632 active dermatology providers in Texas.

NPI age
14 years
↓ 2 yr below median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
7125 New Sanger Ave Ste 502
Waco, TX 767124054
📞 2543437919fax 2544593711
Mailing address
7125 New Sanger Ave Ste 502
Waco, TX 767124054
📞 2543437919fax 2544593711

Additional practice locations

1 secondary location on file with NPPES.

Location 2
213 Paloma Dr
Temple, TX 765022211
📞 2543437919fax 2544593711

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    TX license #AP121522 taxonomy 207N00000X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    TX license #762114TX license #AP121522 taxonomy 363L00000X

Identifiers

TypeValueNotes
05 (TX) 111521403

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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