Individual provider Active NPI

Alison O'Connor Sutherland, ATC, OTC, AEMT

  • Athletic Trainer
  • Hyde Park, VT
National Provider Identifier
1962700708
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
104.0068948 Issued in VT
Practice address
385 Mountain Ests
Hyde Park, VT 05655-4467
Phone
(802) 343-3379
NPI assigned
Mar 2, 2011
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 100360 VT
Athletic Trainer 2255A2300X 104.0068948 VT Primary
Orthopedic Assistant 246ZX2200X NU

Addresses

Primary practice location

385 Mountain Ests
Hyde Park, VT 05655-4467

Mailing address

PO Box 7953
Avon, CO 81620-7953
Phone (802) 343-3379

Other practice location 1

181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone (802) 343-3379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100360VTMDIntermediate Emergency Medical Technician
104.0068948VTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1962700708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7953",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816207953",
            "telephone_number": "802-343-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MOUNTAIN ESTS",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "056554467",
            "telephone_number": "802-343-3379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 W Meadow Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575058",
            "country_code": "US",
            "telephone_number": "802-343-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR SUTHERLAND",
        "first_name": "ALISON",
        "credential": "ATC, OTC,  AEMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "VT",
            "license": "100360",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0068948",
            "primary": true
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.