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
- 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
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.