Active NPI
Kelly Ann Forman, RDN
- Registered Dietitian
- West Hartford, CT
National Provider Identifier
1326877192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 15 N Main St Ste 100
West Hartford, CT 06107-1957 - Phone
- (203) 216-9932
- NPI assigned
- Jul 30, 2024
- 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
15 N Main St Ste 100
West Hartford, CT 06107-1957
Mailing address
41 Simsbury LNDG
Simsbury, CT 06070-1436
Phone (203) 216-9932
Other practice location 1
41 Simsbury Lndg
Simsbury, CT 06070-1436
Phone (203) 216-9932 ext. 69932
Other names 1
- Ms. Kelly Ann Wetmore
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Fitmore LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1326877192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 SIMSBURY LNDG",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060701436",
"telephone_number": "203-216-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N MAIN ST STE 100",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071957",
"telephone_number": "203-216-9932"
}
],
"practiceLocations": [
{
"address_1": "41 Simsbury Lndg",
"address_purpose": "LOCATION",
"city": "Simsbury",
"state": "CT",
"postal_code": "060701436",
"country_code": "US",
"telephone_number": "203-216-9932 x69932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORMAN",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "WETMORE",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.