Active NPI
Maranda Nicole Massey, FNP-BC,PMHNP-BC,APRN
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11020330
- Practice address
- 6488 103Rd St Ste a
Jacksonville, FL 32210-7161 - Phone
- (904) 450-6815
- NPI assigned
- Jan 16, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11020330 | FL | Primary |
| Emergency Registered Nurse | 163WE0003X | 9218621 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11020330 | FL |
Addresses
Primary practice location
6488 103Rd St Ste a
Jacksonville, FL 32210-7161
Mailing address
2389 Country Side Dr
Fleming Island, FL 32003-4907
Phone (850) 603-0771
Other practice location 1
7901 4th St N # 32339
St Petersburg, FL 33702-4305
Phone (904) 867-4709
Other practice location 2
4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187
Phone (833) 384-1044
Other names 1
- Maranda Nicole Harrison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10058 Baymeadows Rd
Suite B
Jacksonville, FL 32256-7177
Phone (904) 450-8020
10503 San Jose Blvd
Jacksonville, FL 32257-6295
Phone (904) 450-6700
7963 Normandy Blvd
Jacksonville, FL 32221-6640
Phone (904) 786-0440
Hospital & facility affiliations
- Ascension St Vincent'S Riverside
- Ascension St Vincent'S St Johns County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9218621 | FL | MD | Emergency Registered Nurse |
| 11020330 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent'S Full Service Urgent Care, LLC | Current | Accepting new patients |
Locations
6488 103rd St
Ste A
Jacksonville, FL 32210
Phone (904) 450-6800
7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203
Interoperability endpoints
- maranda.massey.2@8967.direct.athenahealth.com
- maranda.massey.1@8967.direct.athenahealth.com
- maranda.massey.3@8967.direct.athenahealth.com
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.
-
- Occupational Medicine Clinic/Center
- Jacksonville, FL
- NPI 1750672051
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St. Johns, FL
- NPI 1861078651
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1346426764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2389 COUNTRY SIDE DR",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034907",
"telephone_number": "850-603-0771",
"fax_number": "820-228-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6488 103RD ST STE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322107161",
"telephone_number": "904-450-6815"
}
],
"practiceLocations": [
{
"address_1": "7901 4th St N # 32339",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337024305",
"country_code": "US",
"telephone_number": "904-867-4709",
"fax_number": "820-228-0720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4651 Salisbury Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322566187",
"country_code": "US",
"telephone_number": "833-384-1044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSEY",
"first_name": "MARANDA",
"middle_name": "NICOLE",
"credential": "FNP-BC,PMHNP-BC,APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11020330",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "FL",
"license": "9218621",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11020330",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARANDA",
"last_name": "HARRISON",
"middle_name": "NICOLE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.