Active NPI
Heather Dawn Koplin, RN
- Plastic Surgery Registered Nurse
- Fort Worth, TX
National Provider Identifier
1336064450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Registered Nurse
- License
- 7669167-3102
- Practice address
- 5801 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4130 - Phone
- (817) 870-5080
- NPI assigned
- Aug 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | 7669167-3102 | UT | Primary |
Addresses
Primary practice location
5801 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4130
Mailing address
5614 Oaks LN
Westworth Village, TX 76114-1484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1336064450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5614 OAKS LN",
"city": "WESTWORTH VILLAGE",
"state": "TX",
"postal_code": "761141484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 EDWARDS RANCH RD STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094130",
"telephone_number": "817-870-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPLIN",
"first_name": "HEATHER",
"middle_name": "DAWN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "UT",
"license": "7669167-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.