Michelle Sudol, LATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104.0127498 Issued in VT

Practice address

185 Tilley Dr Ste 57
South Burlington, VT 05403-4484

Phone

(802) 879-1703

NPI assigned

May 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACAHCA

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.

• Back and Neck Center

  • Chiropractor
  • South Burlington, VT
  • NPI 1871649376
  NPD
• Maitri Health Care for Women PC

  • Obstetrics & Gynecology Physician
  • South Burlington, VT
  • NPI 1407800444
  NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1720836299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR STE 57",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484",
            "telephone_number": "802-879-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR STE 57",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484",
            "telephone_number": "802-879-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDOL",
        "first_name": "MICHELLE",
        "credential": "LATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0127498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Stone, LCMHC
• Marne Stothart
• Joanna Eleanor Strong Kinnaman, PH.D.
• Mallory Stunell, LADC
• Nancy Kristensen Suarez, MS, PT
• Karen Sullivan, DPT
• Sunrise Supportive Counseling LLC
• Surgi-Care Inc
• Susanna Thach MD PLC
• Swae Skin LLC

• Athletic Trainer in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Athletic Trainer in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.