Organization Active NPI

Body Refreshments Day Spa LLC

  • Health Service Clinic/Center
  • Lakeland, FL
National Provider Identifier
1770174377
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BODY REFRESHMENTS DAY SPA LLC
Doing business as
Body Refreshments Day Spa LLC
Practice address
3664 Barred Owl Rd
Lakeland, FL 33811-1326
Phone
(407) 259-8927
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Kyandra StandiferNPI 1770174435
Title
Ceo
Phone
(407) 259-8927

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

3664 Barred Owl Rd
Lakeland, FL 33811-1326

Mailing address

220 S Central Ave Unit 2544
Bartow, FL 33831-7103
Phone (407) 259-8927

Other names 1

  • Body Refreshments Day Spa LLC Doing business as

National Provider Directory

National Provider Directory

Locations

220 S Central Ave
Unit 2544
Bartow, FL 33831

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1770174377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S CENTRAL AVE UNIT 2544",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338317103",
            "telephone_number": "407-259-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 BARRED OWL RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111326",
            "telephone_number": "407-259-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY REFRESHMENTS DAY SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "STANDIFER",
        "authorized_official_first_name": "KYANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-259-8927"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Refreshments Day Spa LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.