Individual provider Active NPI

Marcia R Soulsman, NP

  • Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1346460060
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R087625 Issued in MD
Practice address
4 Carolina Ave
Bel Air, MD 21014-5404
Phone
(301) 261-7523
Fax
(410) 956-4341
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R087625 MD Primary

Addresses

Primary practice location

4 Carolina Ave
Bel Air, MD 21014-5404

Mailing address

4 Carolina Avenue
Bel Air, MD 21014-5404
Phone (301) 261-7523

Other identifiers 1

IdentifierTypeStateIssuer
687001500MedicaidMD

Other names 1

  • Marica Soulsman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1346460060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAROLINA AVENUE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145404",
            "telephone_number": "301-261-7523",
            "fax_number": "410-956-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CAROLINA AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145404",
            "telephone_number": "301-261-7523",
            "fax_number": "410-956-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULSMAN",
        "first_name": "MARCIA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R087625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687001500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARICA",
            "last_name": "SOULSMAN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.