Active NPI
Visionz Body Transformation Clinic LLC
- Clinic/Center
- Jackson, MS
National Provider Identifier
1336960897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- VISIONZ BODY TRANSFORMATION CLINIC LLC
- Practice address
- 1058 Ridgewood PL Ste B
Jackson, MS 39211-2002 - Phone
- (601) 952-3822
- NPI assigned
- Oct 17, 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
- Nekieta Lashorn Lofton-Carter
- Title
- Owner
- Phone
- (601) 748-3263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1058 Ridgewood PL Ste B
Jackson, MS 39211-2002
Mailing address
1058 Ridgewood PL Ste B
Jackson, MS 39211-2002
Other names 1
- Visionz Body Transformations
National Provider Directory
National Provider DirectoryLocations
1058 Ridgewood Pl
Ste B
Jackson, MS 39211
Phone (601) 952-3822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1336960897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 RIDGEWOOD PL STE B",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 RIDGEWOOD PL STE B",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112002",
"telephone_number": "601-952-3822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONZ BODY TRANSFORMATION CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "LOFTON-CARTER",
"authorized_official_first_name": "NEKIETA",
"authorized_official_middle_name": "LASHORN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-748-3263"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visionz Body Transformations",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.