Sutha M Fernando

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP133138 Issued in TX

Practice address

2760 E Trinity Mills Rd Ste 115
Carrollton, TX 75006-2194

Phone

(214) 949-1209

NPI assigned

Mar 2, 2017

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• NA NA NA Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Immanuel Family Clinic PLLCGroup PAC ID 5698101517, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Immanuel Family Clinic PLLC

  • Family Nurse Practitioner
  • Carrollton, TX
  • NPI 1265072490
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of McKinney Subsidiary LP

  dba Medical City McKinney

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1437102639
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1093255580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 E TRINITY MILLS RD STE 115",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062194",
            "telephone_number": "214-949-1209",
            "fax_number": "214-826-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 E TRINITY MILLS RD STE 115",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062194",
            "telephone_number": "214-949-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "SUTHA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2026-09-29",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "middle_name": "NA",
            "credential": "SUTHA MS RN FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Fastpass Ucc, PLLC (Code 3 Urgent Care)
• Frederique Minh-Anh Faucheu
• FC of Texas Inc (Intrepid USA Healthcare Services)
• Felix Segovia MD Associated
• Katharine Fernandez, M.S. CCC-SLP
• Susie A Feshold, OTR
• Fifty50 Foods LP (Fifty50 Pharmacy)
• Kristina Renee Fimbres, PA-C
• First Lone Star Pharmacy Group II (Trinity Pharmacy)
• First Texas Hospice LLC

• Family Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.