Individual provider Active NPI

Amy Jean Berry, MS, RD, CNSC

  • Registered Dietitian
  • Mount Pleasant, SC
National Provider Identifier
1346874641
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1221 Hidden Lakes Dr
Mount Pleasant, SC 29464-9467
Phone
(843) 872-2090
Fax
(866) 421-3337
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

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

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.

Verify at the official NPI Registry.