Individual provider Active NPI

Marisa Victoria Podolak, FNP-BC

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1295661817
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1235451 Issued in TX
Practice address
3313 W Airport Fwy Ste 3313
Irving, TX 75062-5937
Phone
(214) 292-6093
NPI assigned
Jun 22, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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 1235451 TX Primary

Addresses

Primary practice location

3313 W Airport Fwy Ste 3313
Irving, TX 75062-5937

Mailing address

2005 Winona Dr
Plano, TX 75074-2726
Phone (214) 471-1641

Other practice location 1

2330 Gus Thomasson Rd
Dallas, TX 75228-3005
Phone (972) 349-6090

Other practice location 2

3166 S Highway 161 Ste 170
Grand Prairie, TX 75052-7720
Phone (972) 640-0005

Other practice location 3

2525 Fort Worth Ave Ste 200
Dallas, TX 75211-1723
Phone (214) 556-0488

Other practice location 4

10325 Lake June Rd Ste 568
Dallas, TX 75217-5326
Phone (214) 247-6550

Other practice location 5

12895 Josey Ln Ste 114
Farmers Branch, TX 75234-8300
Phone (972) 212-6668

Other practice location 6

6520 N President George Bush Hwy # 100
Garland, TX 75044-3925
Phone (972) 532-9967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1235451TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1295661817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 WINONA DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742726",
            "telephone_number": "214-471-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 W AIRPORT FWY STE 3313",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625937",
            "telephone_number": "214-292-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Gus Thomasson Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752283005",
            "country_code": "US",
            "telephone_number": "972-349-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3166 S Highway 161 Ste 170",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750527720",
            "country_code": "US",
            "telephone_number": "972-640-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Fort Worth Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752111723",
            "country_code": "US",
            "telephone_number": "214-556-0488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10325 Lake June Rd Ste 568",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752175326",
            "country_code": "US",
            "telephone_number": "214-247-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12895 Josey Ln Ste 114",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752348300",
            "country_code": "US",
            "telephone_number": "972-212-6668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6520 N President George Bush Hwy # 100",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750443925",
            "country_code": "US",
            "telephone_number": "972-532-9967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODOLAK",
        "first_name": "MARISA",
        "middle_name": "VICTORIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1235451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.