Individual provider Active NPI

Kathrine Maxine Maxfield, PH.D, CCC-SLP

  • Speech-Language Pathologist
  • Coppell, TX
National Provider Identifier
1831267111
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12506 Issued in TX
Practice address
214 Samuel Blvd
#2H
Coppell, TX 75019-5272
Phone
(254) 760-4321
NPI assigned
Dec 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12506 TX Primary

Addresses

Primary practice location

214 Samuel Blvd
#2H
Coppell, TX 75019-5272

Mailing address

214 Samuel Blvd
#2H
Coppell, TX 75019-5272
Phone (254) 760-4321

Other practice location 1

3840 Hulen St Ste 100
Fort Worth, TX 76107-7269
Phone (817) 569-4300

Other identifiers 2

IdentifierTypeStateIssuer
81S675OtherTXBLUE CROSS BLUE SHIELD INSURANCE COMPANY
149668902MedicaidTX

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12506TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
My Health My Resources of Tarrant County Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1831267111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SAMUEL BLVD",
            "address_2": "#2H",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195272",
            "telephone_number": "254-760-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SAMUEL BLVD",
            "address_2": "#2H",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195272",
            "telephone_number": "254-760-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Hulen St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077269",
            "country_code": "US",
            "telephone_number": "817-569-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "KATHRINE",
        "middle_name": "MAXINE",
        "credential": "PH.D, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD INSURANCE COMPANY",
            "identifier": "81S675",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149668902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.