Individual provider Active NPI

Marka Jane Dredla

  • Family Nurse Practitioner
  • Portland, TX
National Provider Identifier
1154949600
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06201250 Issued in TX
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

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002320 TX Practitioner - Nurse Practitioner 2466987532 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06201250TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Unified Women'S Healthcare of Texas PLLC CurrentSince Apr 1, 2025 Accepting new patients
West Coast Wound and Skin Care Inc CurrentSince Apr 14, 2025 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Nueces County Women'S Clinic, PA CurrentSince Nov 1, 2024 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.

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

Verify at the official NPI Registry.