Berry Space Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BERRY SPACE NUTRITION LLC

Practice address

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

Phone

(856) 208-7578

NPI assigned

Aug 24, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nadia Berry, RDNNPI 1154034585

Title

Owner

Phone

(856) 208-7578

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadia Berry, RDN

  • Registered Dietitian
  • Collingswood, NJ
  • NPI 1154034585

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1699508549",
    "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": [],
    "basic": {
        "organization_name": "BERRY SPACE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-208-7578",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• John Bellan
• Amanda J Berardi, MA,CCC-SLP
• Nadia Berry, RDN
• Juliet Caroline Bier
• Alexis Blandine, MS, RDN
• Blooming & Becoming Counseling LLC
• Elaine Meredith Boland, PHD

• Registered Dietitian in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.