Jennifer Elaine Soumah, MBA, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002953 Issued in VA

Practice address

10256 Cherry Walk CT
Oakton, VA 22124-2532

Phone

(317) 965-2333

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science

State licenses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1902068786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10256 CHERRY WALK CT",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242532",
            "telephone_number": "317-965-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10256 CHERRY WALK CT",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242532",
            "telephone_number": "317-965-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7939 Fawnwood Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462789582",
            "country_code": "US",
            "telephone_number": "317-965-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUMAH",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MBA, MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001126A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura R Simmons-Fonner, MA, LPC
• Jennifer Lupianez Sims, D.C.
• Kulwinder Singh, PHARMD
• Solaire Vision Oakton, LLC
• Shabnam Soleymani
• Erin Spengler, DPT
• Elizabeth Ashley Steelman, LCSW
• Elisabeth Marie Stephens, DPT, PT
• Maria T Stewart, MS, LMFT
• Shannon Taylor, MOT

• Athletic Trainer in Oakton, VA
• Providers in Oakton, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.