Active NPI
Angela Marie Soria, MSN, FNP-C
- Family Nurse Practitioner
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71013396A
- Practice address
- 64860 McIntosh LN
Goshen, IN 46526-9131 - Phone
- (260) 348-7766
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28158719A | IN | |
| Home Health Registered Nurse | 163WH0200X | 28158719A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71013396A | IN | Primary |
Addresses
Primary practice location
64860 McIntosh LN
Goshen, IN 46526-9131
Mailing address
64860 McIntosh LN
Goshen, IN 46526-9131
Phone (260) 348-7766
Other names 1
- Prof. Angela Marie Friend
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28158719A | IN | MD | Home Health Registered Nurse |
| 71013396A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Healogics Specialty Physicians of Indiana, LLC | Current | Accepting new patients |
Locations
155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437
501 S Murphy Ave
Brazil, IN 47834
Phone (812) 442-0403
133 W Market St
Indianapolis, IN 46204
Phone (312) 505-7514
2905 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5491
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
1700 I St
Laporte, IN 46350
Phone (219) 362-6234
1900 Andrew Ave
Laporte, IN 46350
Phone (219) 362-6234
251 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-6158
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Interoperability endpoints
- asoria4495039@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Terre Haute, IN
- NPI 1396145975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1215435763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64860 MCINTOSH LN",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465269131",
"telephone_number": "260-348-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64860 MCINTOSH LN",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465269131",
"telephone_number": "260-348-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIA",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2024-07-15",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28158719A",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "IN",
"license": "28158719A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71013396A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "FRIEND",
"middle_name": "MARIE",
"prefix": "PROF.",
"credential": "MSN, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.