Active NPI
Lellieth Keize, REGISTERED DIETITIAN
- Registered Dietitian
- Darien, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 965780
- Practice address
- 19 Old Kings Hwy S Ste 200
Darien, CT 06820-4532 - Phone
- (203) 952-3534
- Fax
- (203) 803-4697
- NPI assigned
- Feb 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 965780 | CT | Primary |
Addresses
Primary practice location
19 Old Kings Hwy S Ste 200
Darien, CT 06820-4532
Mailing address
14 Ferris Ave Apt 10
Norwalk, CT 06854-1538
Phone (203) 952-9715
Other practice location 1
173 Huguenot St Ste 200
New Rochelle, NY 10801-7710
Phone (203) 952-3534
Other names 1
- Mrs. Lellieth Latchman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 Merritt
7 Suite 300
Norwalk, CT 06851-1059
Phone (203) 952-9715
173 Huguenot St
Suite 200
New Rochelle, NY 10801-7710
Phone (203) 952-3534
Hospital & facility affiliations
- Norwalk Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007376 | NY | MD | Mental Health Counselor |
| 965780 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Hospital Association | Current | Accepting new patients | |
| Norwalk Hospital Association | Current | Accepting new patients | |
| Holistic Elevation LLC | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
-
- Mental Health Counselor
- Wilmington, DE
- NPI 1760971493
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1043582026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 FERRIS AVE APT 10",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541538",
"telephone_number": "203-952-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLD KINGS HWY S STE 200",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204532",
"telephone_number": "203-952-3534",
"fax_number": "203-803-4697"
}
],
"practiceLocations": [
{
"address_1": "173 Huguenot St Ste 200",
"address_purpose": "LOCATION",
"city": "New Rochelle",
"state": "NY",
"postal_code": "108017710",
"country_code": "US",
"telephone_number": "203-952-3534",
"fax_number": "203-803-4697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEIZE",
"first_name": "LELLIETH",
"name_prefix": "Ms.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "965780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LELLIETH",
"last_name": "LATCHMAN",
"prefix": "MRS.",
"credential": "MS, RDN, CDCES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.