TIDEWATER MEDSPA PLLC
NPI 1356099113
Clinic/Center - Health Service in Portsmouth, VA

Active since March 11, 2022
3400 AIRLINE BLVD, PORTSMOUTH, VA 23701(757) 470-9454 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tidewater Medspa Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWATER MEDSPA PLLC (NPI 1356099113) is a healthcare organization registered as a health service in Portsmouth, Virginia and active in the NPI registry since March 2022. The organization lists Margot Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1356099113
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameTIDEWATER MEDSPA PLLC
Location Address3400 AIRLINE BLVDPortsmouth, VA 23701-2623
Mailing Address3400 Airline BlvdPortsmouth, VA 23701-2623 · (757) 470-9454
Organization SubpartNo
Authorized OfficialMargot WilsonOwner · (757) 470-9454
Enumeration DateMarch 11, 2022
NPPES CertifiedMarch 10, 2022
NPI 1356099113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
3400 AIRLINE BLVD, Portsmouth, VA 23701

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
3400 AIRLINE BLVD
PORTSMOUTH, VA 23701
Home Health
3400 AIRLINE BLVD
PORTSMOUTH, VA 23701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidewater Medspa PLLC's NPI number?

The NPI number for Tidewater Medspa PLLC is 1356099113. It was assigned to this organization in the NPPES registry on March 11, 2022.

Where is Tidewater Medspa PLLC located?

Tidewater Medspa PLLC is located at 3400 Airline Blvd, Portsmouth, VA 23701. The listed phone number is (757) 470-9454.

What is Tidewater Medspa PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Tidewater Medspa PLLC was last updated on March 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.