JIMMY PETER CASSIS ARNP NPI 1508156357

NPI Information

  • NPI: 1508156357
  • Provider Name: JIMMY PETER CASSIS, ARNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 404 SE 15TH ST
    FORT LAUDERDALE, FL
    ZIP 33316
  • Phone: (954) 530-8638

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NPI Details

Jimmy Peter Cassis, ARNP is a psychiatric/mental health nurse practitioner in Fort Lauderdale, FL. Jimmy Peter Cassis, ARNP NPI is 1508156357. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

404 SE 15TH ST
FORT LAUDERDALE, FL
ZIP 33316-942
Phone: (954) 530-8638
Fax: (954) 530-8638

The enumeration date for this NPI number is 4/13/2011 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP2642392FLORIDANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP 2642392FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1014428800MEDICAIDFLORIDA
2ID168ZOTHERFLORIDAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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