Beth Robins Roth, APRN
Individual provider Active NPI Family Nurse Practitioner · Branford, CT
NPI 1316044845 · NPPES record last updated Dec 9, 2023
Key facts
- NPI
- 1316044845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 000440 (CT)
- Practice address
- 130 Montowese St Ste 5
Branford, CT 06405-3841 - Phone
- (203) 824-1249
- NPI assigned
- Sep 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Yale University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
130 Montowese St
Suite 5
Branford, CT 06405-3841
Phone (203) 824-1249
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040402000592 | CT | Practitioner - Nurse Practitioner | 4688666167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 440 | CT | MD | Hearing Instrument Specialist |
| 000440 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hummingbird Trauma Resolution, LLC | Current |
Accepting new patients | |
| Hannah Isacson D.C. LLC | Past |
Accepting new patients |
Locations
635 Foxon Rd
North Branford, CT 06471
Phone (203) 484-5133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 000440 | CT | Yes |
Addresses
Primary practice location
130 Montowese St Ste 5
Branford, CT 06405-3841
Mailing address
PO Box 185301
Hamden, CT 06518-0301
Phone (203) 824-1249
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008009705 | Medicaid | CT |
Other providers in Branford, CT
- Daniel Romano
- Grace Mary Romano
- Lisa Denise Rosenberger
- Felicia Susan Rosenkrans
- Emily Ross
- Rubenstein Mental Health Solutions
- Eric Rubenstein
- John Stephen Rubsam
- Sarai Ruiz Nieves
- Michael Russo
All providers in Branford, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.