Individual provider Active NPI

Emily K Brantley, RDN, LD/N, CDCES

  • Registered Dietitian
  • Jacksonville, FL
National Provider Identifier
1902283732
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7181 Issued in FL
Practice address
12482 Mount Pleasant Woods Dr
Jacksonville, FL 32225-2678
Phone
(904) 477-8790
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 ND7181 FL Primary

Addresses

Primary practice location

12482 Mount Pleasant Woods Dr
Jacksonville, FL 32225-2678

Mailing address

12482 Mount Pleasant Woods Dr
Jacksonville, FL 32225-2678
Phone (904) 477-8790

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND7181FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1902283732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12482 MOUNT PLEASANT WOODS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252678",
            "telephone_number": "904-477-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12482 MOUNT PLEASANT WOODS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252678",
            "telephone_number": "904-477-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "EMILY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD/N, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 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.