Active NPI
Amy Elizabeth Bernhard, MS RD LDN ACSM-CEP
- Registered Dietitian
- Matthews, NC
National Provider Identifier
1013736289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L007804
- Practice address
- 1319 Sea Mist Dr
Matthews, NC 28105-6640 - Phone
- (248) 506-6081
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.007343 | IL | |
| Registered Dietitian | 133V00000X | L007804 | NC | Primary |
| Registered Dietitian | 133V00000X | 5326 | MN |
Addresses
Primary practice location
1319 Sea Mist Dr
Matthews, NC 28105-6640
Mailing address
1319 Sea Mist Dr
Matthews, NC 28105-6640
Phone (248) 506-6081
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5326 | MN | MD | Professional Counselor |
| 164.007343 | IL | MD | Registered Dietitian |
| L007804 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1013736289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 SEA MIST DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281056640",
"telephone_number": "248-506-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 SEA MIST DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281056640",
"telephone_number": "248-506-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNHARD",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "MS RD LDN ACSM-CEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.007343",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007804",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "5326",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.