Emily J Moorefield, RN HEALTH COACH

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

16503 Issued in NC

Practice address

7855 Doral Dr
Tobaccoville, NC 27050-9002

Phone

(336) 741-1319

Fax

(336) 232-9677

NPI assigned

May 20, 2024

Last updated

May 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premise Health

  dba The Living Well Health Center - Tobaccoville

  • Pharmacy
  • Tobaccoville, NC
  • NPI 1114378312
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1295574333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MOOREFIELD RD",
            "city": "DANBURY",
            "state": "NC",
            "postal_code": "270167006",
            "telephone_number": "336-407-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 DORAL DR",
            "city": "TOBACCOVILLE",
            "state": "NC",
            "postal_code": "270509002",
            "telephone_number": "336-741-1319",
            "fax_number": "336-232-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOREFIELD",
        "first_name": "EMILY",
        "middle_name": "J",
        "credential": "RN HEALTH COACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "16503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Elkins
• Embrace Renewal Primary Health and Wellness, PLLC
• Hope4Tomorrowllc
• Stepehn Adrian Hubbard, MD,FACEP
• Individual
• Ourhealth Professional Physician Group, LLC (Live Well Tobaccoville)
• Premise Health (The Living Well Health Center - Tobaccoville)
• Premise Health of North Carolina Medical PC (RAI Medical Center)
• Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A

• Registered Nurse in Tobaccoville, NC
• Providers in Tobaccoville, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.