Active NPI
Marisa Victoria Podolak, FNP-BC
- Family Nurse Practitioner
- Irving, TX
National Provider Identifier
1295661817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1235451
- 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, 2026
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1235451 | TX | MD | Family 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
- La Tasha Cherie Plemons, CRNA
- Taytum Rashell Plemons
- PM Vitas LLC (Clinica La Familia)
- Podiatric Medical Partners of Texas, PA (Irving Foot and Ankle)
- Podiatric Medical Partners of Texas, PA (Southwest Podiatry, LLP)
- Kathryn Ann Poe, M.A., LPC
- Yin Nyein Poe
- Polestar Medical
- Laura Polis
- Andrea Polk, CPHT
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.