Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan L Roth, APRN

Individual provider Registered Dietitian · NPI 1225453517

Ryan L Roth, APRN is a Nurse Practitioner in Higganum, Connecticut. Qualified in 2014, 12 years ago. Practices with Prohealth Physicians PC, a 212-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
12
Licensed in
CT, MA
In the registry since
2014
Specialties on file
4
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

415 Killingworth Rd
Higganum, CT 06441-4370
Phone: (860) 345-8535
Fax: (860) 345-8678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5832 (CT)
Registered Dietitian Taxonomy 133V00000X · Licence 994473 (CT)
Registered Nurse Taxonomy 163W00000X · Licence RN2284731 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5832 (CT)

Record details

NPI number1225453517
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 24, 2014
Last updated in NPPESOctober 17, 2019
Mailing address500 Albany Ave, Hartford, CT 06120-2508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount