Organization Active NPI

Women's Wellness of Southern Delaware, LLC

  • Obstetrics & Gynecology Physician
  • Lewes, DE
National Provider Identifier
1558987693
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S WELLNESS OF SOUTHERN DELAWARE, LLC
Practice address
17637 Shady Rd Ste 201
Lewes, DE 19958-6248
Phone
(302) 257-5372
NPI assigned
Jun 24, 2020
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Alicia Lafferty
Title
Practice Manger
Phone
(302) 257-5372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

17637 Shady Rd Ste 201
Lewes, DE 19958-6248

Mailing address

17637 Shady Rd Ste 201
Lewes, DE 19958-6248
Phone (302) 257-5372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200803003463 DE Part B Supplier - Clinic/Group Practice 6305261678 Receives reassigned benefits from 3 practitioners
Practice locations: Lewes, DE

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
08D2195255Women's Wellness of Southern Delaware17637 Shady Road, Suite 201, Lewes, DE 19958Provider-performed microscopyOct 6, 2026

National Provider Directory

National Provider Directory

Locations

17637 Shady Rd
Ste 201
Lewes, DE 19958
Phone (302) 257-5372

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22603/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1558987693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17637 SHADY RD STE 201",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586248",
            "telephone_number": "302-257-5372",
            "fax_number": "302-203-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17637 SHADY RD STE 201",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586248",
            "telephone_number": "302-257-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S WELLNESS OF SOUTHERN DELAWARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "LAFFERTY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRACTICE MANGER",
        "authorized_official_telephone_number": "302-257-5372"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.