Active NPI
Jenna Leigh Soder, CRNP
- Family Nurse Practitioner
- Barrington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP019380
- Practice address
- 600 Clements Bridge Rd
Barrington, NJ 08007-1814 - Phone
- (855) 968-6371
- NPI assigned
- Sep 18, 2018
- Last updated
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 726046 | NY | |
| Family Nurse Practitioner | 363LF0000X | 024002 | OH | |
| Family Nurse Practitioner | 363LF0000X | 343886 | NY | |
| Family Nurse Practitioner | 363LF0000X | SP019380 | PA | Primary |
Addresses
Primary practice location
600 Clements Bridge Rd
Barrington, NJ 08007-1814
Mailing address
5307 Chadwick Rd
Erie, PA 16510-4105
Phone (724) 462-6876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300
9131 175TH St
Jamaica, NY 11432-5517
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 726046 | NY | MD | Registered Nurse |
| 343886 | NY | MD | Family Nurse Practitioner |
| SP019380 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Wound Healing Solutions LLC | Current | Accepting new patients | |
| Wound Healing Solutions Pennsylvania and Delaware LLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Senf NP Family Medicine PLLC | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517
1235 Upper Front St
#208
Binghamton, NY 13905
67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700
1 Whittier Way
Ghent, NY 12075
Phone (518) 828-0800
10421 State Route 40
Ste 300
Granville, NY 12832
301 Mill Rd
Ste U5
Hewlett, NY 11557
9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133
170 Lake St
Liberty, NY 12754
Phone (845) 292-4200
60 Broad St
New York, NY 10004
Phone (212) 785-0797
150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657
905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201
607 E 26th St
Erie, PA 16504
Phone (814) 451-1334
395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973
1020 Oak Ln
Philadelphia, PA 19126
Phone (215) 224-9898
2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Barrington, NJ
- NPI 1306272075
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1730663550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5307 CHADWICK RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165104105",
"telephone_number": "724-462-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CLEMENTS BRIDGE RD",
"city": "BARRINGTON",
"state": "NJ",
"postal_code": "080071814",
"telephone_number": "855-968-6371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODER",
"first_name": "JENNA",
"middle_name": "LEIGH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "726046",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "024002",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343886",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP019380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.