Individual provider Active NPI

Parissa Kimia Vizza, MSN, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1083171144
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11038252 Issued in FL
Practice address
9337 Atlantic Blvd Ste 8
Jacksonville, FL 32225-8218
Phone
(904) 780-2100
Fax
(844) 612-3977
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95168487 CA
Pediatric Nurse Practitioner 363LP0200X 95011264 CA
Pediatric Nurse Practitioner 363LP0200X APRN11038252 FL Primary

Addresses

Primary practice location

9337 Atlantic Blvd Ste 8
Jacksonville, FL 32225-8218

Mailing address

13490 Gran Bay Pkwy Unit 3
Jacksonville, FL 32258-7446
Phone (617) 850-2465

Other practice location 1

6855 Wilson Blvd Ste 2
Jacksonville, FL 32210-3600
Phone (561) 509-5009

Other practice location 2

13490 Gran Bay Pkwy
Jacksonville, FL 32258-9494
Phone (617) 850-2465

Other practice location 3

5000-3 Norwood Ave
Jacksonville, FL 32208-5001
Phone (561) 509-5009

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95011264CAMDPediatric Nurse Practitioner
APRN11038252FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pediatrics, LLC CurrentSince Dec 21, 2025 Accepting new patients
Palm Beach Pediatrics, LLC Past Accepting new patients
Salinas Valley Memorial Healthcare System PastSince Dec 1, 2020 Accepting new patients
Palm Beach Pediatrics, LLC PastSince Dec 21, 2025 Accepting new patients
Salinas Pediatric Medical Group Inc PastSince Dec 1, 2020 Accepting new patients
Palm Beach Pediatrics, LLC PastSince Feb 23, 2025 Accepting new patients
Shelly L. Hall M.D., P.a. PastSince Aug 1, 2025 Accepting new patients

Locations

6855 Wilson Blvd
Ste 2
Jacksonville, FL 32210

Interoperability endpoints

  • Direct secure messaging: parissavizza@ip-fl1.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/17796/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1083171144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13490 GRAN BAY PKWY UNIT 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587446",
            "telephone_number": "617-850-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9337 ATLANTIC BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258218",
            "telephone_number": "904-780-2100",
            "fax_number": "844-612-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6855 Wilson Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322103600",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13490 Gran Bay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322589494",
            "country_code": "US",
            "telephone_number": "617-850-2465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000-3 Norwood Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322085001",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIZZA",
        "first_name": "PARISSA",
        "middle_name": "KIMIA",
        "credential": "MSN, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95168487",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95011264",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11038252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.