Active NPI
Marisa Victoria Podolak, FNP-BC
- Family Nurse Practitioner
- Plano, TX
National Provider Identifier
1295661817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1235451
- Practice address
- 2005 Winona Dr
Plano, TX 75074-2726 - Phone
- (214) 471-1641
- NPI assigned
- Jun 22, 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
2005 Winona Dr
Plano, TX 75074-2726
Mailing address
2005 Winona Dr
Plano, TX 75074-2726
Phone (214) 471-1641
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
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": "1782086400000",
"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": "2005 WINONA DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750742726",
"telephone_number": "214-471-1641"
}
],
"practiceLocations": [],
"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": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1235451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
- Stephanie Podewils, RN, WHNP-BC
- Carla Podgurecki, MD
- Podiatric Medical Partners of Texas, PA (Footcare Centers)
- Podiatric Medical Partners of Texas, PA (FootCare Centers)
- Podiatric Medical Partners of Texas, PA (Southwest Podiatry, LLP)
- Jonathan Poggi, M.D.
- Kathleen K Point, LPC
- Sirisha Pokala, DPM
- Michael Poku, M.D.
- Daisy Alexa Polanco
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.