Please fill out the nutrition coaching application on the bottom part of the page under the "Work with Emily" (https://www.nusparklenutrition.com/work-with-emily)t(https://www.nusparklenutrition.com/work-with-emily)ab, and you will be contacted via email to set up a free 15-minute introductory call to see if we are a good fit.

Hours of Operation are Monday through Friday 11:00 am EST - 10:00 pm EST. Virtual visits (telehealth) ONLY. Email and text messaging are the best ways to get in contact with NuSparkle Nutrition. info@nusparklenutrition.com (info@nusparklenutrition.com) 904-497-0401 Fax: 833-773-1288

• Cigna • Aetna • Humana • United Healthcare • Blue Cross Blue Shield/Florida Blue PPO Plans • Anthem Blue Cross Blue Shield • Curative • Medicare Part B of Florida (Medicare ONLY covers Chronic Kidney Disease stages 3-5 and Diabetes; physician referral is required for coverage even with PPO plans; Fax all referrals to 833-773-1288) *NuSparkle Nutrition CAN bill as an out-of-network provider. The client pays upfront and an insurance claim will be sent to the insurance company for reimbursement. If the services are covered, the client is reimbursed the amount the insurance company paid. *You can also request that your health insurance company provide a coverage exception if they are unable to provide you with an in-network dietitian nutritionist. Your health insurance plan MUST be able to deliver the benefits you are paying for in your plan.

It is each client’s responsibility to confirm their insurance benefits before scheduling an appointment. While we do our best to verify your coverage as a courtesy, any charges not covered by your plan will be your responsibility. How to Check Your Nutrition Benefits: 1. Call the member services number on the back of your insurance card. 2. Ask to speak with a representative and say: “Do I have benefits for nutritional counseling with a registered dietitian?” If they request procedure (CPT) codes, share the following: • Primary codes: 97802 (initial session) and 97803 (follow-up session) • If not covered: Ask if they allow 99401–99404, S9470, G0270, or G0271. They may also ask for a diagnosis (ICD-10) code. You can provide: • Most common: Z71.3 (dietary counseling and surveillance) • Alternative: Z72.4 (inadequate physical activity) If you’ve been diagnosed with any of the following, mention them as well: • Chronic kidney disease • Overweight or obesity • Pre-diabetes or diabetes • High blood pressure • High cholesterol • Obstructive sleep apnea • NASH (non-alcoholic steatohepatitis) or MASH (metabolic dysfunction-associated steatohepatitis) We bill using preventative care codes whenever appropriate to help maximize the number of visits your plan may cover. Make sure to verify that telehealth is covered by your plan. If mention a "place of service", ask them which is covered by your plan: 2, 10, or 11 with modifier 95. 💡 Please keep in mind: Certain diagnoses, such as IBS or other conditions without a qualifying diagnosis like obesity, may lead to out-of-pocket costs depending on your deductible, copay, or coinsurance. Your insurance company also determines how many visits are covered annually. Please note - NuSparkle Nutrition CAN bill as an out-of-network provider. The client pays upfront and an insurance claim will be sent to the insurance company for reimbursement. If the services are covered, the client is reimbursed the amount the insurance company paid. *You can also request that your health insurance company provide a coverage exception if they are unable to provide you with an in-network dietitian nutritionist. Your health insurance plan MUST be able to deliver the benefits you are paying for in your plan.

You pay for the month; not per session. Weekly coaching (4 sessions) = $375 per month Bi-weekly coaching (2 sessions) = $250 per month Or Pay for the weekly coaching program 6 months in full and get one month free! = $1875 I do not offer scheduling for a single session (unless insurance is being used).

No! Emily is licensed in several states. Emily can see clients from the following states: • Alabama • Alaska • Arizona • California • Colorado • Connecticut • Florida • Georgia • Hawaii • Idaho • Indiana • Maryland • Massachusetts • Michigan • New Hampshire • New Jersey • New York • Oklahoma • Oregon • Pennsylvania • Texas • Utah • Vermont • Virginia • Washington • West Virginia • Wisconsin • Wyoming Licenses pending: • Louisiana • Minnesota • Mississippi • North Carolina

Yes! Chronic kidney disease (CKD) and weight management (loss or gain). Emily is a Board Certified Specialist in Renal Nutrition (CSR). NuSparkle Nutrition helps individuals optimize their nutrition without feeling restricted, enabling them to improve their strength and gain confidence in their eating habits.

Yes!

18 years and older.

It depends on the client's specific goals and concerns. Usually 3-6 months, however, some up to 1 year or more! The minimum commitment is 1 month. Developing new habits that stick takes time. Some clients need more help with accountability than others, so it depends on your needs.

No. NuSparkle Nutrition can help clients with various concerns including, but not limited to: • Sports Nutrition • Diabetes • High Blood Pressure/Hypertension • High Cholesterol/Triglycerides • Congestive Heart Failure • Cancer • Liver Disease • Wound Healing • Malnutrition • Gout • Vitamin/Mineral Deficiencies • Anemia • Osteoporosis • Tube Feeding

I do not work with pediatric patients. Also, I typically refer out to dietitians that specialize in eating disorders for patients needing help managing an eating disorder such as anorexia or bulimia.

Every dietitian is a nutritionist, but not every nutritionist is a dietitian. The title "registered dietitian" is a protected term, meaning that individuals must meet specific educational and professional requirements to use it. Registered dietitians can provide medical nutrition therapy. Registered Dietitians can use either of these credentials: RD or RDN. The title "nutritionist" is not regulated, and therefore, individuals may have varying levels of education and expertise in the field of nutrition. Contrary to popular belief, registered dietitians do not simply recommend nutritional supplements like Ensure or decide what’s on the hospital menu. RDNs collaborate with other healthcare professionals, such as doctors, nurses, speech therapists, and physical therapists to provide comprehensive care to their patients. RDNs also collaborate with social workers and mental health professionals to address the psychological and socio-economic factors that can impact an individual's relationship with food and eating habits. WHAT EDUCATION AND TRAINING IS REQUIRED TO BECOME A REGISTERED DIETITIAN? Individuals must complete a bachelor's degree in an accredited nutrition and dietetics program. As of 2024, a master's degree is now required. Classes vary according to program, but in general, coursework covers: • Nutrition and Metabolism • Bioorganic Chemistry • Anatomy and Physiology • Microbiology • Biostatistics • Epidemiology • Sociocultural Influences in Nutrition • Nutrition Across the Lifespan • Food Science • Food Service Systems Management • Business and Economics • Culinary Arts • Sociology and Communication • US Healthcare Systems Students must also complete a 1200-hour supervised practice program (internship) and pass a national boards examination. RDNs interpret lab results to assess a patient's nutritional needs and monitor the effects of medications on their nutritional status. They also provide guidance on the appropriate use of supplements. RDNs have the expertise to write tube feeding and parenteral nutrition (IV nutrition) orders, and they often work in intensive care units (ICU) to provide critical nutritional support to patients who are unable to eat orally.

Nutrition coaching includes weekly or biweekly virtual face-to-face sessions and open daily communication with the dietitian-nutritionist (via text and/or email). The first session is 45 minutes-1 hour and follow-ups are 20-30 minutes.

For basic lab work, it is best to have it ordered by your physician so that your health insurance covers it, otherwise you will have to pay for the labs out of pocket. The dietitian does make recommendations as to which blood tests to discuss getting checked. All lab work is reviewed and explained in depth by the dietitian. Tests offered: 🐟Omega-3 Index Testing - An at-home mail-in blood test that measures omega-3 levels in your cells and shows whether your intake is truly supporting inflammation balance. Low omega-3 levels are associated with many health issues including heart disease, Alzheimer’s dementia, eye diseases, dry skin, depression, inflammation, & much more. 💩GI-MAP - A comprehensive stool test that reveals what is really happening in your gut including bacteria, parasites, inflammation, and digestion issues driving symptoms. 🧬Nutrigenomix - A DNA test that shows how your genes respond to food, nutrients, caffeine, and exercise so your nutrition plan is built for your biology, not averages. Pricing: 🐟Omega-3 Index: • Complete (all 24 individual fatty acids, Omega-6:Omega-3 Ratio, AA:EPA Ratio, & Trans Fat Index) $100 • Plus (Omega-6:Omega-3 Ratio; AA:EPA Ratio & Trans fat index) $85 • Basic $55 💩GI-MAP: • GI Mapping $415 • GI Mapping + Zonulin $480 Add-ons: • StoolOMX $110 • OMX Organic Metabolomics $290 🧬Nutrigenomix: • 70-gene test $500 • Pharmacogenetics test $500 Add ons: • Print copy $30 • Skin test $90 • Histamine intolerance test $70

Clients have access to a portal with personalized meal plans and recipes based on their specific nutritional needs determined by the dietitian. The dietitian determines nutritional needs by analyzing lab work, medical history, height, weight, age, gender, activity level, food allergies/sensitivities, nutritional deficiencies, and the client's specific goals. The portal is available to use as an app on mobile devices and/or desktop computers and laptops. The portal also includes a food tracking feature and nutrient analysis. Clients are also provided with handouts and other helpful visual aids via email.