Active NPI
Amy Jean Berry, MS, RD, CNSC
- Registered Dietitian
- Mount Pleasant, SC
National Provider Identifier
1346874641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1221 Hidden Lakes Dr
Mount Pleasant, SC 29464-9467 - Phone
- (843) 872-2090
- Fax
- (866) 421-3337
- NPI assigned
- Feb 25, 2020
- Last updated
- Jan 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1221 Hidden Lakes Dr
Mount Pleasant, SC 29464-9467
Mailing address
1221 Hidden Lakes Dr
Mount Pleasant, SC 29464-9467
Phone (434) 996-0507
Other practice location 1
256 Sanctuary Lane
Palmyra, VA 22963
Phone (843) 872-2090
Other practice location 2
Uva Emily Couric Cancer Center 1240 Lee St
Charlottesville, VA 22908-0001
Phone (434) 924-9771
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
- Credentials
- Master of Science
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1346874641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 HIDDEN LAKES DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294649467",
"telephone_number": "434-996-0507",
"fax_number": "866-421-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 HIDDEN LAKES DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294649467",
"telephone_number": "843-872-2090",
"fax_number": "866-421-3337"
}
],
"practiceLocations": [
{
"address_1": "256 Sanctuary Lane",
"address_purpose": "LOCATION",
"city": "Palmyra",
"state": "VA",
"postal_code": "22963",
"country_code": "US",
"telephone_number": "843-872-2090",
"fax_number": "866-421-3337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Uva Emily Couric Cancer Center 1240 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080001",
"country_code": "US",
"telephone_number": "434-924-9771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "AMY",
"middle_name": "JEAN",
"credential": "MS, RD, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2023-01-17",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.