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

Thusha Sivanantham

Individual provider Adult Health Nurse Practitioner · NPI 1467099531

Thusha Sivanantham is a Nurse Practitioner in Allentown, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1250 S Cedar Crest Blvd Ste 400
Allentown, PA 18103-6224
Phone: (610) 402-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP021255 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence SP021255 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence SP021255 (PA)

Record details

NPI number1467099531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2019
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address2100 Mack Blvd, Allentown, PA 18103-5622

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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