Origins Birth Services, LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

ORIGINS BIRTH SERVICES, LLC

Practice address

10340 Alta Vista Rd
Fort Worth, TX 76244-6500

Phone

(817) 349-6005

Fax

(817) 768-6940

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Gina Rachel Phillips, CPM, LM

Title

Midwife

Phone

(214) 680-0956

Specialties & licenses 2

Addresses

Other names 1

• Origin's 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

  • Lay Midwife
  • Fort Worth, TX
  • NPI 1003211756
  NPD tax ID

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1992123236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 ALTA VISTA RD STE 1A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446500",
            "telephone_number": "817-349-6005",
            "fax_number": "817-768-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10340 ALTA VISTA RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446500",
            "telephone_number": "817-349-6005",
            "fax_number": "817-768-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS BIRTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "214-680-0956",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "TX",
            "license": "150037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Origin's Birth and Wellness Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Nelson Ebot Orock, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.