Active NPI
Maranda Jordan Guess, CPNP
- Pediatric Nurse Practitioner
- Brookhaven, MS
National Provider Identifier
1063925519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 902353
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 902353 | MS | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Brook Kids, P.C. | Pediatrics | Current | 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
- maranda.guess.1@23736.direct.athenahealth.com
- maranda.guess.1@30219.direct.athenahealth.com
- 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.