Melissa Kelly, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86026739

Practice address

8 Strawberry LN
Old Lyme, CT 06371-2627

Phone

(860) 575-2890

NPI assigned

Jul 29, 2014

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Melissa Przybysz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1871901314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STRAWBERRY LN",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063712627",
            "telephone_number": "860-575-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 STRAWBERRY LN",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063712627",
            "telephone_number": "860-575-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MELISSA",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86026739",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "1695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PRZYBYSZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Constance Macleod Hunter, OTR/L
• Pam Ingersoll, LCSW
• Integrative Family Health & Wellness, LLC
• Joann Flynn LLC.
• JT Virtual Psychiatry LLC
• Natasha Knight
• Melissa Ann Knowlton, MSPT
• Maria A Koslawy, APRN
• Kathryn G Kozak
• Walter Krauss

• Registered Dietitian in Old Lyme, CT
• Providers in Old Lyme, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.