Individual provider Active NPI

Nadia Berry, RDN

  • Registered Dietitian
  • Collingswood, NJ
National Provider Identifier
1154034585
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
900 Haddon Avenue
Suite 211, Unit a
Collingswood, NJ 08108
Phone
(856) 208-7578
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 Primary

Addresses

Primary practice location

900 Haddon Avenue
Suite 211, Unit a
Collingswood, NJ 08108

Mailing address

900 Haddon Avenue
Suite 211, Unit a
Collingswood, NJ 08108

Other practice location 1

161 Gaither Dr Ste 105
Mount Laurel, NJ 08054-1740
Phone (301) 752-5178

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berry Space Nutrition LLC Dietitian, Registered CurrentSince Aug 25, 2024 Accepting new patients

Locations

900 Haddon Ave
Ste 211
Collingswood, NJ 08108
Phone (856) 208-7578

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": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1154034585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HADDON AVENUE",
            "address_2": "SUITE 211, UNIT A",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "08108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVENUE",
            "address_2": "SUITE 211, UNIT A",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "08108",
            "telephone_number": "856-208-7578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Gaither Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541740",
            "country_code": "US",
            "telephone_number": "301-752-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "NADIA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.