Individual provider Active NPI

Angelica Soto, FNP

  • Family Nurse Practitioner
  • Seagoville, TX
National Provider Identifier
1508258716
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127568 Issued in TX
Practice address
1110 N Highway 175 Ste 7
Seagoville, TX 75159-2361
Phone
(469) 333-5151
Fax
(469) 333-5156
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 738756 TX
Family Nurse Practitioner 363LF0000X AP127568 TX Primary

Addresses

Primary practice location

1110 N Highway 175 Ste 7
Seagoville, TX 75159-2361

Mailing address

1110 N Highway 175 Ste 7
Seagoville, TX 75159-2361
Phone (469) 333-5151

Other identifiers 1

IdentifierTypeStateIssuer
AP127568OtherTXTEXAS STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160816000527 TX Practitioner - Nurse Practitioner 0648564591 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
738756TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Vida Healthcare Family Current Accepting new patients
Dallas County Hospital District Family CurrentSince Jun 29, 2022 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Dallas County Hospital District Family CurrentSince Jun 29, 2022 Accepting new patients

Locations

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: asoto36904@direct.phhs.org

Organizations & group practices 5

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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1508258716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N HIGHWAY 175 STE 7",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592361",
            "telephone_number": "469-333-5151",
            "fax_number": "469-333-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N HIGHWAY 175 STE 7",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592361",
            "telephone_number": "469-333-5151",
            "fax_number": "469-333-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ANGELICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "738756",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF NURSING",
            "identifier": "AP127568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seagoville, TX

Sources for this page

Verify at the official NPI Registry.