Nicole R Sugrue, BA

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

097.0136468 Issued in VT

Practice address

174 Hospital Loop
Berlin, VT 05602-9105

Phone

(802) 479-4083

Fax

(802) 476-1476

NPI assigned

Feb 7, 2024

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

Other names 1

• Nicole R Brothers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1487418877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-301-3200",
            "fax_number": "802-223-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029105",
            "telephone_number": "802-479-4083",
            "fax_number": "802-476-1476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Main St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056022932",
            "country_code": "US",
            "telephone_number": "802-225-8355",
            "fax_number": "802-223-8105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Barre St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056023510",
            "country_code": "US",
            "telephone_number": "802-301-3200",
            "fax_number": "802-223-0842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Summer St",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "VT",
            "postal_code": "056413741",
            "country_code": "US",
            "telephone_number": "802-479-4055",
            "fax_number": "802-661-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGRUE",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VT",
            "license": "097.0136468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BROTHERS",
            "middle_name": "R",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mason Andrew Bentley Stillman
• Justin M Stinnett-Donnelly, MD
• Alicia M. Stone, LPMA
• Harris Kiva Strokoff, MD
• Jeffrey Alexander Stump
• Bridget K Sullivan, LPMA
• Austin D Sumner, MD
• Hannah Swayze-Quinn, MD
• Sarah E Swift, MD
• Hillary Camilla Sylvester

• Student in an Organized Health Care Education/Training Program in Berlin, VT
• Providers in Berlin, VT by specialty
• Student in an Organized Health Care Education/Training Program in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.