TIDEWATER MEDSPA PLLC – Health Service Clinic/Center, NPI 1356099113

TIDEWATER MEDSPA PLLC is a healthcare provider. based in Portsmouth, Virginia. specializing in Health Service Clinic/Center. The NPI Number for TIDEWATER MEDSPA PLLC is 1356099113

Main info

Organization
Name
TIDEWATER MEDSPA PLLC
NPI
1356099113
Phone
(757) 470-9454
Address
3400 AIRLINE BLVD
Authorized Official
MARGOT WILSON OWNER FNP
Enumeration Date
11 March 2022
Last Update Date
11 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for TIDEWATER MEDSPA PLLC

  • 3400 AIRLINE BLVD

    PORTSMOUTH, VA 237012623

    Phone: (757) 470-9454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23701)

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Frequently asked questions

What is the 10-digit NPI for TIDEWATER MEDSPA PLLC?
TIDEWATER MEDSPA PLLC — NPI 1356099113 — is the standard way to identify this listing.
Is TIDEWATER MEDSPA PLLC listed as active for patients and plans?
The listing shows TIDEWATER MEDSPA PLLC as active in the NPI system.
What healthcare role does TIDEWATER MEDSPA PLLC hold?
Scheduling teams often label TIDEWATER MEDSPA PLLC under Health Service Clinic/Center. Clinical services aligned with this taxonomy classification.
Does TIDEWATER MEDSPA PLLC list a practice location?
Patients near Portsmouth, Virginia may find TIDEWATER MEDSPA PLLC in results; validate coverage separately.
Why does TIDEWATER MEDSPA PLLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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