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

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