Organization Active NPI

Pink Wellnest Women's Wellness Center LLC

  • Clinic/Center
  • Wilmington, DE
National Provider Identifier
1871459685
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PINK WELLNEST WOMEN'S WELLNESS CENTER LLC
Practice address
5223 W Woodmill Dr # 41
Wilmington, DE 19808-4068
Phone
(267) 736-0153
NPI assigned
Dec 25, 2025
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Mrs. Tiffany Walton-Boone, NPNPI 1316648900
Title
Owner
Phone
(267) 736-0153

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

5223 W Woodmill Dr # 41
Wilmington, DE 19808-4068

Mailing address

5037 Greene St
Philadelphia, PA 19144-2969
Phone (267) 736-0153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260413002950 DE Part B Supplier - Clinic/Group Practice 1355816778 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, 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
08D2336872Pink Wellnest Women's Center LLC5223 W Woodmill Drive Suite 41, Wilmington, DE 19808Certificate of waiverJan 12, 2028

National Provider Directory

National Provider Directory

Locations

5223 W Woodmill Dr
#41
Wilmington, DE 19808
Phone (267) 736-0153

Practitioners & affiliated clinicians

Practitioners 1

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": "1766620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1871459685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037 GREENE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442969",
            "telephone_number": "267-736-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 W WOODMILL DR # 41",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "267-736-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK WELLNEST WOMEN'S WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-25",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "WALTON-BOONE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-736-0153",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.