Tiffany D Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019013508 Issued in VA

Practice address

750 W Princess Anne Rd
Apt. A1
Norfolk, VA 23517-1840

Phone

(757) 770-7078

NPI assigned

Jun 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nugenics Wellness Corporation

  • Case Manager/Care Coordinator
  • Portsmouth, VA
  • NPI 1003639238

  Massage Therapist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1972297141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WEST PRINCESS ANNE RD",
            "address_2": "APT. A1",
            "city": "NORFOLK VIRGINIA",
            "state": "VA",
            "postal_code": "23517",
            "telephone_number": "757-770-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W PRINCESS ANNE RD",
            "address_2": "APT. A1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171840",
            "telephone_number": "757-770-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019013508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Smith, CRNA
• Stacey S Smith, LCSW
• Tashia Smith, LCSW
• Tawanda Smith, LCSW
• Thomas Gregory Smith, DDS
• Wayne Robert Smith, DO
• Abby Smits
• Krysten Smutko, RBT
• Elizabeth Ann Smyder, MPT
• Snap4Kids

• Massage Therapist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.