Organization Active NPI

Rose Bay Nutrition LLC

  • Registered Dietitian
  • New Smyrna Beach, FL
National Provider Identifier
1659224236
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ROSE BAY NUTRITION LLC
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
Last updated
May 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2026

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

Authorized official

Name
Emily Louise Davis Moore, MS, RD, LD/NNPI 1063365633
Title
Owner
Phone
(321) 270-7292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

406 Canal St # 211
New Smyrna Beach, FL 32168-7010

Mailing address

406 Canal St # 211
New Smyrna Beach, FL 32168-7010
Phone (321) 270-7292

National Provider Directory

National Provider Directory

Locations

406 Canal St
#211
New Smyrna Beach, FL 32168
Phone (321) 270-7292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777766400000",
    "number": "1659224236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "ROSE BAY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "LOUISE DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-270-7292",
        "authorized_official_credential": "MS, RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 May 3, 2026; 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.