Active NPI
Emily Rose Conyers, MS, RDN, CSR, LD/N
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1811474695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7660
- Practice address
- 12866 Daybreak CT E
Jacksonville, FL 32246-7095 - Phone
- (904) 497-0401
- Fax
- (833) 773-1288
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | ND7660 | FL | |
| Nutritionist | 133N00000X | LD006417IU | GA | |
| Nutrition Education Nutritionist | 133NN1002X | ND7660 | FL | |
| Nutritionist | 133N00000X | ND7660 | FL | |
| Registered Dietitian | 133V00000X | LD006417IU | GA | |
| Registered Dietitian | 133V00000X | ND7660 | FL | Primary |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | ND7660 | FL | |
| Renal Nutrition Registered Dietitian | 133VN1005X | LD006417IU | GA | |
| Renal Nutrition Registered Dietitian | 133VN1005X | ND7660 | FL | |
| Gerontological Nutrition Registered Dietitian | 133VN1101X | ND7660 | FL | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | LD006417IU | GA |
Addresses
Primary practice location
12866 Daybreak CT E
Jacksonville, FL 32246-7095
Mailing address
12866 Daybreak CT E
Jacksonville, FL 32246-7095
Phone (904) 497-0401
Other names 1
- Ms. Emily Rose Greco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12866 Daybreak CT E
Jacksonville, FL 32246-7095
Phone (904) 497-0401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND7660 | FL | MD | Registered Dietitian |
| LD006417IU | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Rose Nutrition, LLC | Nutritionist | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
4320 Deerwood Lake Pkwy
Ste 101140
Jacksonville, FL 32216
Phone (904) 497-0401
589 Palisade Dr
Brunswick, GA 31523
Organizations & group practices 2
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.
-
dba NuSparkle Nutrition
- Registered Dietitian
- Jacksonville, FL
- NPI 1174139679
Nutritionist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1811474695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12866 DAYBREAK CT E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322467095",
"telephone_number": "904-497-0401",
"fax_number": "833-773-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12866 DAYBREAK CT E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322467095",
"telephone_number": "904-497-0401",
"fax_number": "833-773-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONYERS",
"first_name": "EMILY",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "MS, RDN, CSR, LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "FL",
"license": "ND7660",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "GA",
"license": "LD006417IU",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "FL",
"license": "ND7660",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND7660",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD006417IU",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7660",
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "FL",
"license": "ND7660",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "GA",
"license": "LD006417IU",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "FL",
"license": "ND7660",
"primary": false
},
{
"code": "133VN1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "FL",
"license": "ND7660",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "GA",
"license": "LD006417IU",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "GRECO",
"middle_name": "ROSE",
"prefix": "MS.",
"credential": "MS, RDN, LD/N",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.