NPIMap

Organization Active NPI

Womens Health Collective

  • Gynecology Physician
  • Grand Rapids, MI
National Provider Identifier
1629615646
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
WOMENS HEALTH COLLECTIVE
Practice address
630 Kenmoor Ave SE Ste 103
Grand Rapids, MI 49546-8626
Phone
(616) 581-0772
NPI assigned
Dec 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Nisha McKenzie, PA-CNPI 1770578676
Title
Founder and Owner
Phone
(616) 600-4950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

630 Kenmoor Ave SE Ste 103
Grand Rapids, MI 49546-8626

Mailing address

630 Kenmoor Ave SE
Grand Rapids, MI 49546-8626

Other names 1

  • Women's Health Collective Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2211206Women'S Health Collective630 Kenmoor Ave SE Suite 103, Grand Rapids, MI 49546Provider-performed microscopyJan 25, 2027

National Provider Directory

National Provider Directory

Locations

630 Kenmoor Ave SE
Grand Rapids, MI 49546
Phone (616) 975-6200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20679/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1629615646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 KENMOOR AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 KENMOOR AVE SE STE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468626",
            "telephone_number": "616-581-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "616-600-4950",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.