Tidewater Medspa PLLC
NPI 1356099113 · Health Service Clinic/Center · Portsmouth, VA
Tidewater Medspa PLLC is a Health Service Clinic/Center organization in Portsmouth, VA (NPI 1356099113).
Provider details
- NPI number
- 1356099113
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Margot Wilson, Owner(757) 470-9454
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2022-03-11
- Certified
- 2022-03-10
Frequently asked questions
- What is Tidewater Medspa PLLC's NPI number?
- Tidewater Medspa PLLC's National Provider Identifier (NPI) is 1356099113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Medspa PLLC?
- Tidewater Medspa PLLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tidewater Medspa PLLC located?
- Tidewater Medspa PLLC's practice location on file with NPPES is 3400 Airline Blvd, Portsmouth, VA 23701-2623.
- What is Tidewater Medspa PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Medspa PLLC is (757) 470-9454.
- Who is the authorized official for Tidewater Medspa PLLC?
- The authorized official listed on Tidewater Medspa PLLC's NPPES record is Margot Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Medspa PLLC's NPI active?
- Yes — Tidewater Medspa PLLC's NPI (1356099113) is active in the NPPES registry as of the last update on 2022-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.