Origins Birth and Wellness Dallas

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

ORIGINS BIRTH AND WELLNESS DALLAS

Practice address

3100 Swiss Ave
Dallas, TX 75204

Phone

(214) 228-1392

NPI assigned

Jun 17, 2018

Organization subpart

No

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

Authorized official

Name

Amethyst Fagan Tate, CPM

Title

Midwife

Phone

(214) 228-1392

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1477047116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046025",
            "telephone_number": "214-228-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "214-228-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS BIRTH AND WELLNESS DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "AMETHYST",
        "authorized_official_middle_name": "FAGAN",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "214-228-1392",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "TX",
            "license": "99337",
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147744198",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "midwifedallas@originsbirth.com",
            "affiliation": "N",
            "address_1": "3100 Swiss Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johanna Oreilly
• Rebecca Eva Orellana, CCC-SLP
• Harry H Orenstein, M.D.
• Britni Jada Oriahi
• Nelson Origa, PHARM.D
• Origins Counseling LLC
• Orion Or Assist
• Orion Rehabilitation, LLC
• Orion Transit, LLC
• Kafayat Oritola, NP

• Birthing Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Birthing Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.