Emily J Moorefield, RN HEALTH COACH

Individual provider Active NPI Registered Nurse · Tobaccoville, NC

NPI 1295574333 · NPPES record last updated May 20, 2024

Key facts

NPI
1295574333
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
16503 (NC)
Practice address
7855 Doral Dr
Tobaccoville, NC 27050-9002
Phone
(336) 741-1319
Fax
(336) 232-9677
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
16503NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health Past
since May 26, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Registered Nurse 163W00000X 16503 NC Yes

Addresses

Primary practice location

7855 Doral Dr
Tobaccoville, NC 27050-9002

Mailing address

1565 Moorefield Rd
Danbury, NC 27016-7006
Phone (336) 407-6049

Other providers in Tobaccoville, NC

All providers in Tobaccoville, NC · Registered Nurse in North Carolina

Sources for this page

Verify at the official NPI Registry.