Emily Rose Nutrition, LLC
NPI 1174139679 · Registered Dietitian · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Emily Rose Nutrition, LLC is a Registered Dietitian organization in Jacksonville, FL (NPI 1174139679).
Provider details
- NPI number
- 1174139679
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Emily Conyers, Founder, Ceo, & Dietitian(904) 497-0401
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Renal Nutrition Registered Dietitian133VN1005X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- Nusparkle Nutrition
Registry dates
- Enumerated
- 2020-09-20
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Frequently asked questions
- What is Emily Rose Nutrition, LLC's NPI number?
- Emily Rose Nutrition, LLC's National Provider Identifier (NPI) is 1174139679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emily Rose Nutrition, LLC?
- Emily Rose Nutrition, LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Emily Rose Nutrition, LLC located?
- Emily Rose Nutrition, LLC's practice location on file with NPPES is 12866 Daybreak Ct E, Jacksonville, FL 32246-7095.
- What is Emily Rose Nutrition, LLC's phone number?
- The practice phone number listed in the NPPES registry for Emily Rose Nutrition, LLC is (904) 497-0401.
- Does Emily Rose Nutrition, LLC accept Medicare?
- Emily Rose Nutrition, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Emily Rose Nutrition, LLC?
- The authorized official listed on Emily Rose Nutrition, LLC's NPPES record is Emily Conyers, Founder, Ceo, & Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emily Rose Nutrition, LLC's NPI active?
- Yes — Emily Rose Nutrition, LLC's NPI (1174139679) is active in the NPPES registry as of the last update on 2026-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.