Individual provider Active NPI

Maranda Nicole Massey, FNP-BC,PMHNP-BC,APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1346426764
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020330 Issued in FL
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

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611002266 FL Practitioner - Nurse Practitioner 3678015260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
St Vincent'S Full Service Urgent Care, LLCGroup PAC ID 4183879364, 29 clinicians

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 Hospital, Jacksonville, FL, CCN 100040
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9218621FLMDEmergency Registered Nurse
11020330FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent'S Full Service Urgent Care, LLC CurrentSince May 20, 2024 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

  • Direct secure messaging: maranda.massey.2@8967.direct.athenahealth.com
  • Direct secure messaging: maranda.massey.1@8967.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.