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EMILY ROSE NUTRITION LLC NPI 1174139679


NPI Information

NPI: 1174139679
Provider Name: EMILY ROSE NUTRITION, LLC

Doing Business As: NUSPARKLE NUTRITION

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
7990 BAYMEADOWS RD E UNIT 729
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 497-0401
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EMILY ROSE NUTRITION, LLC is a dietitian registered in Jacksonville, FL. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. EMILY ROSE NUTRITION, LLC NPI is 1174139679. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nusparkle Nutrition.

The provider's business location address is:

7990 BAYMEADOWS RD E UNIT 729
JACKSONVILLE, FL
ZIP 32256-971
Phone: (904) 497-0401
Fax: (833) 773-1288

The provider's authorized official is Emily Rose Conyers .
The authorized official title is Owner/ceo and has the following contact phone number (904) 497-0401.

The enumeration date for this NPI number is 9/20/2020 and was last updated on 11/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistNo
2133NN1002XNutritionistNutrition, EducationNo
3133VN1005XDietitian, RegisteredNutrition, RenalNo
4133VN1501XDietitian, RegisteredNutrition, Sports DieteticsNo
5133VN1006XDietitian, RegisteredNutrition, MetabolicNo
6133VN1101XDietitian, RegisteredNutrition, GerontologicalNo
7133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
8133VN1301XDietitian, RegisteredNutrition, OncologyNo
9133V00000XDietitian, RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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