MEDICARE: DR. AMANDA BERHAUPT PHD, MS, RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1255282075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA BERHAUPT PHD, MS, RD

Provider Business Mailing Address
First Line	:	1103 LEXINGTON AVE
Second Line	:
City	:	SCHENECTADY
State	:	NY
Zip	:	12309-5623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7126 CARROLL AVE APT 1
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-4648
Country	:	US
Telephone Number	:	202-774-7286
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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