ORIGINS BIRTH AND WELLNESS DALLAS (NPI# 1477047116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477047116 |
| Entity Type | Organization |
| Organization Name | ORIGINS BIRTH AND WELLNESS DALLAS |
| Practice Address |
3100 Swiss Ave Dallas TX 75204 |
| Mailing Address |
3100 Swiss Ave Dallas TX 75204-6025 |
| Practice Telephone | 2142281392 |
| Mailing Telephone | 2142281392 |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | AMETHYST FAGAN TATE (MIDWIFE) |
| Authorized Official Telephone | 2142281392 |
| Authorized Official Credential | CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | 99337 | TX | Other Service Providers |
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 147744198 | 05 |
| Street Address |
3100 SWISS AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629080007 | Birth and Womens Center | Midwife | 3100 Swiss Ave, Dallas, TX 75204-6025 | 2006-08-13 |
| 1982267761 | Julie Danley | Advanced Practice Midwife | 3100 Swiss Ave, Dallas, TX 75204-6025 | 2019-04-17 |
| 1609332576 | Megan Desrochers | Midwife | 3100 Swiss Ave, Dallas, TX 75204-6025 | 2019-02-15 |
| 1447744198 | Amethyst Fagan Tate | Midwife | 3100 Swiss Ave, Dallas, TX 75204-6025 | 2018-06-17 |
| 1689883472 | Cherie Boettcher | Midwife | 3100 Swiss Ave, Dallas, TX 75204-6025 | 2007-05-21 |
| 1699898502 | Stacie Lynn Flanery | Chiropractor | 3100 Swiss Ave, Dallas, TX 75204-6025 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447620810 | Kristine Tawater | Clinic/Center | 4218 Main St, Dallas, TX 75226-1145 | 2015-09-29 |
| 1447729066 | Bluebonnet Birth & Women's Health | Clinic/Center | 4720 Gaston Ave, Dallas, TX 75246-1014 | 2018-11-14 |
| 1972086577 | Private Healthcare Facilities | Clinic/Center | 350 N Saint Paul St Apt 2610, Dallas, TX 75201-4224 | 2018-09-10 |
| 1265741755 | Madewell Woman | Clinic/Center | 2509 Thomas Ave, Dallas, TX 75201-2039 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502255 | Lotus Community Birthing Center Pllc | Clinic/Center | 13805 Ann Pl Apt B, Austin, TX 78728-7742 | 2020-09-12 |
| 1104479229 | Heartbeat Midwifery Pllc | Clinic/Center | 2409 20th St, Lubbock, TX 79411-1003 | 2019-07-17 |
| 1215495361 | Blessed Joy Midwifery | Clinic/Center | 504 N Rockwall Ave, Terrell, TX 75160-2115 | 2019-03-07 |
| 1841766839 | Westover Hills Birth Center, Pllc | Clinic/Center | 9410 Dugas Dr Ste 131, San Antonio, TX 78245-1869 | 2018-10-17 |
| 1023502390 | Birth Center of Beaumont | Clinic/Center | 5955 Caswell Rd Ste A, Beaumont, TX 77708-3748 | 2018-06-19 |
| 1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
| 1720596901 | The Addice Birth Center, LLC | Clinic/Center | 8845 Six Pines Dr Ste 150, Shenandoah, TX 77380-2675 | 2018-01-22 |
| 1780195420 | Samantha Miller | Clinic/Center | 3125 Clarksville St Apt 101, Paris, TX 75460-8050 | 2017-10-20 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1528596020 | Galveston Birth Center | Clinic/Center | 712 10th St, Galveston, TX 77550-5116 | 2017-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.