Active NPI
Nugenics Wellness Corporation
- Case Manager/Care Coordinator
- Portsmouth, VA
National Provider Identifier
1003639238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- NUGENICS WELLNESS CORPORATION
- Practice address
- 100 7TH St Ste 104
Portsmouth, VA 23704-4800 - Phone
- (207) 305-3761
- Fax
- (207) 305-3761
- NPI assigned
- Nov 6, 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
- Tiffany Dawn Smith
- Title
- Owner
- Phone
- (757) 770-7078
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
100 7TH St Ste 104
Portsmouth, VA 23704-4800
Mailing address
100 7TH St Ste 104
Portsmouth, VA 23704-4800
Phone (207) 305-3761
Other names 1
- LUCID MASSAGE
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Norfolk, VA
- NPI 1972297141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751155200000",
"number": "1003639238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 7TH ST STE 104",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237044800",
"telephone_number": "207-305-3761",
"fax_number": "207-305-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 7TH ST STE 104",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237044800",
"telephone_number": "207-305-3761",
"fax_number": "207-305-3761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUGENICS WELLNESS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2025-06-29",
"certification_date": "2025-06-29",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-770-7078"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LUCID MASSAGE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LUCID MASSAGE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.