Jennifer Aimee Souder, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP008462 Issued in PA

Practice address

1939 W Cheltenham Ave
Elkins Park, PA 19027-1046

Phone

(215) 884-5715

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St Mary Medical Center

  • Family Medicine Physician
  • Bensalem, PA
  • NPI 1083622286
  Medicare reassignment NPD
• St Mary Medical Center

  • Community/Retail Pharmacy
  • Langhorne, PA
  • NPI 1750683504
  NPD
• Einstein Practice Plan Inc

  • Pediatrics Physician
  • Phila, PA
  • NPI 1730132028
  NPD (past)
• Tri-County Pediatrics, Inc

  • Pediatrics Physician
  • Elkins Park, PA
  • NPI 1235176397
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1558463554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271046",
            "telephone_number": "215-884-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271046",
            "telephone_number": "215-884-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Huntingdon Pike Ste 207",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190068372",
            "country_code": "US",
            "telephone_number": "215-322-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "729 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189666008",
            "country_code": "US",
            "telephone_number": "215-322-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Newtown Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189745207",
            "country_code": "US",
            "telephone_number": "215-322-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUDER",
        "first_name": "JENNIFER",
        "middle_name": "AIMEE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleepcare Center, Inc.
• A. Mitchell Smith, MD
• Jelisa S Smith
• Andrew Snyder, NRP
• Veronika Sokolovski, DMD
• Sousan Pharmacy Inc
• Sharon M Sowinski-Mueller, DO
• Larry Wayne Spector, D.O.
• Speech Finders Pediatric Therapy, LLC
• Jacob Spivack

• Nurse Practitioner in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.

Verify at the official NPI Registry.