Tiffany Michelle Angel, RN
Individual provider Active NPI Registered Nurse · Goshen, IN
NPI 1104754373 · NPPES record last updated May 9, 2026
Key facts
- NPI
- 1104754373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28157712A (IN)
- Practice address
- 1811 Charlton CT
Goshen, IN 46526-6464 - Phone
- (573) 534-8200
- NPI assigned
- May 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28157712A | IN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28157712A | IN | Yes |
Addresses
Primary practice location
1811 Charlton CT
Goshen, IN 46526-6464
Mailing address
67732 State Road 15
New Paris, IN 46553-9110
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.