Diva Weight Loss LLC
NPI 1417230186 · Health Service Clinic/Center · Ridgeland, MS
Diva Weight Loss LLC is a Health Service Clinic/Center organization in Ridgeland, MS (NPI 1417230186).
Provider details
- NPI number
- 1417230186
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Caryn Johnson, Owner(601) 624-5840
- License
- R869964 (MS)
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
14 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
Other names (DBA / former)
- Doing business as
- B/Ba Performance Weight Loss and Medispa
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2012-02-13
Frequently asked questions
- What is Diva Weight Loss LLC's NPI number?
- Diva Weight Loss LLC's National Provider Identifier (NPI) is 1417230186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diva Weight Loss LLC?
- Diva Weight Loss LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Diva Weight Loss LLC located?
- Diva Weight Loss LLC's practice location on file with NPPES is 604 Goodridge Dr, Ridgeland, MS 39157-4402.
- What is Diva Weight Loss LLC's phone number?
- The practice phone number listed in the NPPES registry for Diva Weight Loss LLC is (769) 251-1040.
- Who is the authorized official for Diva Weight Loss LLC?
- The authorized official listed on Diva Weight Loss LLC's NPPES record is Caryn Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diva Weight Loss LLC's NPI active?
- Yes — Diva Weight Loss LLC's NPI (1417230186) is active in the NPPES registry as of the last update on 2012-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.