Angie Nicole Sutherland, LMT, CMMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

IL227.020137 Issued in IL

Practice address

1806 N. Market Street
Champaign, IL 61822

Phone

(217) 650-9362

NPI assigned

Jul 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Angie Nicole Remmers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1851963441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N. MARKET STREET",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-650-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N. MARKET STREET",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-650-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "ANGIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMT, CMMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-03-11",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "IL227.020137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "REMMERS",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "LMFT, CMMP,CMLDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rebecca Sutterfield, M.S., CCC-SLP
• Jenna Suttle, M.A., CCC-SLP/L
• Lauren M Svymbersky, MA
• Breann Danielle Swan-Figueroa, APN
• Jasmine Swarn

• Massage Therapist in Champaign, IL
• Providers in Champaign, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.