Active NPI
Melissa Litwak, MS, RD, CLC
- Registered Dietitian
- Stamford, CT
National Provider Identifier
1841858495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 59.001719
- Practice address
- 77 Fieldstone Rd
Stamford, CT 06902-2575 - Phone
- (561) 703-8352
- NPI assigned
- May 30, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 59.001719 | CT | |
| Nutritionist | 133N00000X | 59.001719 | CT | |
| Nutrition Education Nutritionist | 133NN1002X | 59.001719 | CT | |
| Registered Dietitian | 133V00000X | 59.001719 | CT | Primary |
Addresses
Primary practice location
77 Fieldstone Rd
Stamford, CT 06902-2575
Mailing address
77 Fieldstone Rd
Stamford, CT 06902-2575
Phone (561) 703-8352
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59.001719 | CT | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1841858495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 FIELDSTONE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022575",
"telephone_number": "561-703-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 FIELDSTONE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022575",
"telephone_number": "561-703-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITWAK",
"first_name": "MELISSA",
"credential": "MS, RD, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CT",
"license": "59.001719",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CT",
"license": "59.001719",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CT",
"license": "59.001719",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "59.001719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.