Ryan L Roth, APRN
Nurse Practitioner in Higganum, Connecticut
1225453517- Practice location
- 415 Killingworth RD, Higganum, CT 06441-4370
- Phone
- 860-345-8535
- Fax
- 860-345-8678
- Last updated
- October 17, 2019
Ryan L Roth is a Nurse Practitioner based in Higganum, CT. Ryan L Roth practices in Higganum, CT and has the professional credentials of APRN. The NPI Number for Ryan L Roth is 1225453517 and holds a License No. 994473 (CT). The current practice location address for Ryan L Roth is 415 Killingworth RD, Higganum, CT 06441-4370 and can be reached out via phone at 860-345-8535 and via fax at 860-345-8678.
Provider Profile Details
- NPI Number
- 1225453517
- Provider Name
- Ryan L Roth
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 415 Killingworth RD, Higganum, CT 06441-4370
- Phone Number
- 860-345-8535
- Fax Number
- 860-345-8678
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 24, 2014
- Last Update Date
- October 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 Killingworth RD
Higganum, CT 06441-4370 - City
- Higganum
- State
- Connecticut
- Zip
- 06441-4370
- Phone Number
- 860-345-8535
- Fax Number
- 860-345-8678
Provider Business Mailing Address Details
- Address
- 500 Albany Ave
Hartford, CT 06120-2508 - City
- Hartford
- State
- CT
- Zip
- 06120-2508
- Phone Number
- 860-249-9625
- Fax Number
- 860-808-1580
License Information
- License Number (1)
- 994473
- License State (1)
- CT
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- RN2284731
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 5832
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X
- License Number (4)
- 5832
- License State (4)
- CT
- Taxonomy (4)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ryan L Roth, APRN?
The NPI number of Ryan L Roth, APRN is 1225453517. It was assigned on February 24, 2014 and is currently active in the NPPES registry.
What is the specialty of Ryan L Roth, APRN?
Ryan L Roth, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 994473.
Where does Ryan L Roth, APRN practice?
The practice location is 415 Killingworth RD, Higganum, CT 06441-4370. The office can be reached at 860-345-8535 (phone) or 860-345-8678 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225453517 directly on the NPPES registry website.