Active NPI
Emily Louise Davis Moore, MS, RD, LD/N
- Registered Dietitian
- New Smyrna Beach, FL
National Provider Identifier
1063365633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7033
- Practice address
- 406 Canal St # 211
New Smyrna Beach, FL 32168-7010 - Phone
- (321) 270-7292
- Fax
- (877) 681-7122
- NPI assigned
- Feb 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND7033 | FL | Primary |
Addresses
Primary practice location
406 Canal St # 211
New Smyrna Beach, FL 32168-7010
Mailing address
5500 W Bayshore Dr
Port Orange, FL 32127-6116
Phone (302) 545-0565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5500 W Bayshore Dr
Port Orange, FL 32127-6116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND7033 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Bay Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
406 Canal St
#211
New Smyrna Beach, FL 32168
Phone (321) 270-7292
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- New Smyrna Beach, FL
- NPI 1659224236
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1063365633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 W BAYSHORE DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321276116",
"telephone_number": "302-545-0565",
"fax_number": "877-681-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 CANAL ST # 211",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687010",
"telephone_number": "321-270-7292",
"fax_number": "877-681-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "EMILY",
"middle_name": "LOUISE DAVIS",
"credential": "MS, RD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.