Individual provider Active NPI

Emily Louise Davis Moore, MS, RD, LD/N

  • Registered Dietitian
  • New Smyrna Beach, FL
National Provider Identifier
1063365633
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7033 Issued in FL
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

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ND7033FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.