Origins Birth Services, LLC

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

License

99220 Issued in TX

Legal business name

ORIGINS BIRTH SERVICES, LLC

Practice address

10340 Alta Vista Rd
Suite 1a
Fort Worth, TX 76244-6500

Phone

(817) 562-2828

Fax

(817) 768-6940

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kaitlyn Elizabeth Wages, CPM, LM

Title

Midwife/Owner

Phone

(817) 966-8075

Specialties & licenses 1

Addresses

Other names 1

• Origins Birth and Wellness Collective Doing business as

Tax ID family

Origin'S Birth and Wellness Collective2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Origins Birth Services, LLC

  • Midwife
  • Fort Worth, TX
  • NPI 1992123236
  NPD tax ID

Locations

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1003211756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 ALTA VISTA RD",
            "address_2": "SUITE 1A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446500",
            "telephone_number": "817-562-2828",
            "fax_number": "817-768-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10340 ALTA VISTA RD",
            "address_2": "SUITE 1A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446500",
            "telephone_number": "817-562-2828",
            "fax_number": "817-768-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS BIRTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "WAGES",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MIDWIFE/OWNER",
        "authorized_official_telephone_number": "817-966-8075",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": "TX",
            "license": "99220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Origins Birth and Wellness Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Javier Eduardo Ordonez
• Magaly Ordonez, FNP
• Katherine Orefice
• Alexander Orellana, APRN, CRNA
• Undral Orgil, D.P.M
• Origins Birth Services, LLC
• Origins Wellness PLLC
• Elizabeth O Oriola-Otenaike, PSYD
• Cameron Orme
• Elizabeth Marie Oroark

• Lay Midwife in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Lay Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.