Active NPI
Alison O'Connor Sutherland, ATC, OTC, AEMT
- Athletic Trainer
- Hyde Park, VT
National Provider Identifier
1962700708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 104.0068948
- Practice address
- 385 Mountain Ests
Hyde Park, VT 05655-4467 - Phone
- (802) 343-3379
- NPI assigned
- Mar 2, 2011
- Last updated
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 100360 | VT | MD | Intermediate Emergency Medical Technician |
| 104.0068948 | VT | MD | Athletic 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.