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

Sutha M Fernando

Individual provider Family Nurse Practitioner · NPI 1093255580

Sutha M Fernando is a Nurse Practitioner in Carrollton, Texas. Qualified in 2016, 10 years ago. Practices with Immanuel Family Clinic PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2017
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Practice location Address checks out

2760 E Trinity Mills Rd Ste 115
Carrollton, TX 75006-2194
Phone: (214) 949-1209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP133138 (TX)

Record details

NPI number1093255580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2017
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address2760 E Trinity Mills Rd Ste 115, Carrollton, TX 75006-2194

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Immanuel Family Clinic Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Carrollton