Hazel Martinez Kopf, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

35476 Issued in TX

Practice address

3204 Westfield Ave
Fort Worth, TX 76133-1734

Phone

(817) 709-3581

NPI assigned

Nov 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1043976236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 WESTFIELD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761331734",
            "telephone_number": "817-709-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 WESTFIELD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761331734",
            "telephone_number": "817-709-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPF",
        "first_name": "HAZEL",
        "middle_name": "MARTINEZ",
        "credential": "SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "35476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yendoutie Konlani
• Gale Konrad
• Logan Andrew Konty, D.O.
• Christina Waiyin Koo, DO
• Katherine Joella Koonce, FNP-C
• Heather Dawn Koplin, RN
• Elizabeth M Kopor, LPC
• Steven Kopor, LPC-S LCDC
• Hannah R Kopriva, APRN, NP-BC
• Michael D. Korenman, M.D.

• Speech-Language Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.