B/BA PERFORMANCE WEIGHT LOSS AND MEDISPA
NPI 1417230186
Clinic/Center - Health Service in Ridgeland, MS
About B/ba Performance Weight Loss And Medispa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
B/BA PERFORMANCE WEIGHT LOSS AND MEDISPA (NPI 1417230186) is a healthcare organization registered as a health service in Ridgeland, Mississippi and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Caryn Alison Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2006834
Diva Weight Loss LLC Dba Performance Weight Loss And Medi Spa · Ridgeland, MSOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Diva Weight Loss LLC's NPI number?
The NPI number for Diva Weight Loss LLC is 1417230186. It was assigned to this organization in the NPPES registry on September 20, 2011. The provider is doing business as B/Ba Performance Weight Loss And Medispa.
Where is Diva Weight Loss LLC located?
Diva Weight Loss LLC is located at 604 Goodridge Dr Suite A, Ridgeland, MS 39157. The listed phone number is (769) 251-1040.
What is Diva Weight Loss LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does Diva Weight Loss LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2006834) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Diva Weight Loss LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Diva Weight Loss LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Diva Weight Loss LLC was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# B/ba Performance Weight Loss And Medispa · NPI 1417230186
Health Service organization in Ridgeland, Mississippi. Organization record, active in the CMS NPPES registry since September 20, 2011.
## Identity
- **NPI:** 1417230186 (Entity type: Organization)
- **Enumerated:** September 20, 2011
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Legal business name:** Diva Weight Loss Llc
- **Organization subpart:** No
- **Authorized official:** Caryn Johnson, OWNER
## Practice location
- **Address:** 604 GOODRIDGE DR, SUITE A, Ridgeland, MS 39157-4402
- **Phone:** (769) 251-1040
## Record status
- **NPPES last updated:** February 13, 2012
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1417230186) · Data from the CMS NPPES public registry.