Active NPI
Kelly Fitmore LLC
- Registered Dietitian
- West Hartford, CT
National Provider Identifier
1376463679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KELLY FITMORE LLC
- Practice address
- 15 N Main St Ste 100
West Hartford, CT 06107-1957 - Phone
- (203) 216-9932
- NPI assigned
- Jul 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Ann Forman, RDN
- Title
- Ceo
- Phone
- (203) 216-9932
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1376463679",
"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",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KELLY FITMORE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-16",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "FORMAN",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "203-216-9932",
"authorized_official_name_prefix": "Mrs.",
"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": []
}
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.