Active NPI
Women's Wellness of Southern Delaware, LLC
- Obstetrics & Gynecology Physician
- Lewes, DE
National Provider Identifier
1558987693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2195255 | Women's Wellness of Southern Delaware | Provider-performed microscopy | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
17637 Shady Rd
Ste 201
Lewes, DE 19958
Phone (302) 257-5372
Interoperability endpoints
- 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.
-
- Obstetrics Physician
- Lewes, DE
- NPI 1568781193
Obstetrics & Gynecology
-
- Student in an Organized Health Care Education/Training Program
- Newark, DE
- NPI 1437787280
-
- Obstetrics & Gynecology Physician
- Lewes, DE
- NPI 1922396837
-
- Advanced Practice Midwife
- Georgetown, DE
- NPI 1275805459
-
- Physical Medicine & Rehabilitation Physician
- Lewes, DE
- NPI 1396796413
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.