NPIMap

Individual provider Active NPI

Maranda Shayannice Page, NP

  • Family Nurse Practitioner
  • Coppell, TX
National Provider Identifier
1982105938
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21586 Issued in SC
Practice address
8951 Cypress Waters Blvd Ste 160
Coppell, TX 75019-4282
Phone
(612) 217-4967
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21586 SC Primary

Addresses

Primary practice location

8951 Cypress Waters Blvd Ste 160
Coppell, TX 75019-4282

Mailing address

215 E Corley LN
Spartanburg, SC 29303-2625
Phone (864) 410-9710

Other practice location 1

5123 W 98th St
Minneapolis, MN 55437-2040
Phone (612) 217-4967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608000423 SC Practitioner - Nurse Practitioner 5496112377 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenesis Organization Community Health CenterGroup PAC ID 8022928001, shared by 9 NPIs, 35 clinicians

Practice addresses (Care Compare)

460 Langdon St
Spartanburg, SC 29302-1614
Phone (864) 504-3628

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21586SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Sep 2, 2023 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Alena Medical Clinic LLC CurrentSince Jan 31, 2021 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 2, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Jan 31, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 2, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Jan 31, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 2, 2023 Accepting new patients

Locations

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

Interoperability endpoints

  • Direct secure messaging: maranda.dendy.1@29536.direct.athenahealth.com
  • Direct secure messaging: maranda.dendy@myrhc.eclinicaldirectplus.com

Organizations & group practices 8

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 4

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": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1982105938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E CORLEY LN",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032625",
            "telephone_number": "864-410-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 CYPRESS WATERS BLVD STE 160",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194282",
            "telephone_number": "612-217-4967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5123 W 98th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554372040",
            "country_code": "US",
            "telephone_number": "612-217-4967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MARANDA",
        "middle_name": "SHAYANNICE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.