Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Sutherland

Individual provider Nurse Practitioner · NPI 1154096956

Angela Sutherland is a Nurse Practitioner in Tyler, Texas. Qualified in 2020, 6 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

833 S Beckham Ave
Tyler, TX 75701-1905
Phone: (903) 526-4325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F04210539 (TX)

Record details

NPI number1154096956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2021
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address833 S Beckham Ave, Tyler, TX 75701-1905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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