Individual provider Active NPI

Maranda Jordan Guess, CPNP

  • Pediatric Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1063925519
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
902353 Issued in MS
Practice address
301C Highway 51 S
Brookhaven, MS 39601-3247
Phone
(601) 835-1062
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 902353 MS Primary

Addresses

Primary practice location

301C Highway 51 S
Brookhaven, MS 39601-3247

Mailing address

301C Highway 51 S
Brookhaven, MS 39601-3247
Phone (601) 754-7905

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
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902353MSMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Brook Kids, P.C. Pediatrics CurrentSince May 18, 2025 Accepting new patients

Locations

301C Highway 51 S
Brookhaven, MS 39601
Phone (601) 833-7261

508 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 835-1062

Interoperability endpoints

  • Direct secure messaging: maranda.guess.1@23736.direct.athenahealth.com
  • Direct secure messaging: maranda.guess.1@30219.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23736/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1063925519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C HIGHWAY 51 S",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013247",
            "telephone_number": "601-754-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301C HIGHWAY 51 S",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013247",
            "telephone_number": "601-835-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUESS",
        "first_name": "MARANDA",
        "middle_name": "JORDAN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "902353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.