Active NPI
Origin Midwives LLC
- Birthing Clinic/Center
- Casper, WY
National Provider Identifier
1205752995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- ORIGIN MIDWIVES LLC
- Practice address
- 2165 Heathrow Ave
Casper, WY 82609-3933 - Phone
- (307) 439-6390
- Fax
- (520) 380-4886
- NPI assigned
- Jun 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Pekin, CNM
- Title
- Managing Member
- Phone
- (240) 422-3889
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | |||
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
Primary practice location
2165 Heathrow Ave
Casper, WY 82609-3933
Mailing address
2165 Heathrow Ave
Casper, WY 82609-3933
Phone (307) 439-6390
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1205752995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 HEATHROW AVE",
"city": "CASPER",
"state": "WY",
"postal_code": "826093933",
"telephone_number": "307-439-6390",
"fax_number": "520-380-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 HEATHROW AVE",
"city": "CASPER",
"state": "WY",
"postal_code": "826093933",
"telephone_number": "307-439-6390",
"fax_number": "520-380-4886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIGIN MIDWIVES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-26",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "PEKIN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "240-422-3889",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.