Active NPI
Marka Jane Dredla
- Family Nurse Practitioner
- Portland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06201250
- Practice address
- 277 Buddy Ganem Dr Ste a
Portland, TX 78374-3202 - Phone
- (361) 777-3900
- Fax
- (361) 413-0274
- NPI assigned
- Jul 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06201250 | TX | Primary |
Addresses
Primary practice location
277 Buddy Ganem Dr Ste a
Portland, TX 78374-3202
Mailing address
277 Buddy Ganem Dr Ste a
Portland, TX 78374-3202
Phone (361) 777-3900
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06201250 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven R. Macdonald, M.D., P.a. | Current | Accepting new patients | |
| Unified Women'S Healthcare of Texas PLLC | Current | Accepting new patients | |
| West Coast Wound and Skin Care Inc | Current | Accepting new patients | |
| Randall Burt MD PA | Current | Accepting new patients | |
| Nueces County Women'S Clinic, PA | Current | Accepting new patients |
Locations
2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272
7121 Spid Dr
Ste 202
Corpus Christi, TX 78412
Phone (361) 881-5000
7121 S Padre Island Dr
Ste 304
Corpus Christi, TX 78412
Phone (361) 881-5000
7121 Spid Dr
Ste 205B
Corpus Christi, TX 78412
Phone (361) 881-5000
7121 Spid Dr
Ste 302
Corpus Christi, TX 78412
Phone (361) 851-5000
101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000
6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1952703373
-
- Urgent Care Clinic/Center
- Pearland, TX
- NPI 1013432285
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1518209113
-
- Obstetrics & Gynecology Physician
- Corpus Christi, TX
- NPI 1669503009
-
- Specialist
- Plano, TX
- NPI 1336279116
-
- Specialist
- Plano, TX
- NPI 1528198397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1154949600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 BUDDY GANEM DR STE A",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783743202",
"telephone_number": "361-777-3900",
"fax_number": "361-413-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 BUDDY GANEM DR STE A",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783743202",
"telephone_number": "361-777-3900",
"fax_number": "361-413-0274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREDLA",
"first_name": "MARKA",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "F06201250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.