Healthcare Provider Details

I. General information

NPI: 1144965518
Provider Name (Legal Business Name): JESSICA M SOMMA DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 FALCON DR
FREDERICKSBRG VA
22408-1930
US

IV. Provider business mailing address

195 FALCON DR
FREDERICKSBRG VA
22408-1930
US

V. Phone/Fax

Practice location:
  • Phone: 540-371-2724
  • Fax: 540-371-5072
Mailing address:
  • Phone: 540-371-2724
  • Fax: 540-371-5072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC007283
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0103301499
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: