Organization Active NPI

True Women'S Clinic of Grand Rapids, PC

  • Medical Specialty Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1629684386
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
TRUE WOMEN'S CLINIC OF GRAND RAPIDS, PC
Practice address
2144 E Paris Ave SE Ste 230
Grand Rapids, MI 49546-6111
Phone
(616) 330-1700
Fax
(616) 330-1709
NPI assigned
Sep 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Allyn Lebster
Title
Ceo
Phone
(616) 330-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2144 E Paris Ave SE Ste 230
Grand Rapids, MI 49546-6111

Mailing address

2144 E Paris Ave SE Ste 230
Grand Rapids, MI 49546-6111
Phone (616) 330-1700

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
23D2190741True Women'S Clinic of Grand Rapids, P C2144 E Paris Avenue S E, Grand Rapids, MI 49546Provider-performed microscopyAug 18, 2026

National Provider Directory

National Provider Directory

Locations

2144 East Paris Ave SE
Ste 230
Grand Rapids, MI 49546
Phone (616) 330-1700

Practitioners & affiliated clinicians

Practitioners 8

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": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1629684386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466111",
            "telephone_number": "616-330-1700",
            "fax_number": "616-330-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466111",
            "telephone_number": "616-330-1700",
            "fax_number": "616-330-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE WOMEN'S CLINIC OF GRAND RAPIDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "LEBSTER",
        "authorized_official_first_name": "ALLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-330-1700"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 2020; 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.