Individual provider Active NPI

Angela Marie Soria, MSN, FNP-C

  • Family Nurse Practitioner
  • Goshen, IN
National Provider Identifier
1215435763
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013396A Issued in IN
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

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724000202 IN Practitioner - Nurse Practitioner 3072973064 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28158719AINMDHome Health Registered Nurse
71013396AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Aug 4, 2024 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jul 14, 2025 Accepting new patients
Healogics Specialty Physicians of Indiana, LLC CurrentSince Jul 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.