JIMMY PETER CASSIS ARNP
NPI 1508156357
Nurse Practitioner - Psychiatric/Mental Health in Fort Lauderdale, FL

Active since April 13, 2011
404 SE 15TH ST, FORT LAUDERDALE, FL 33316(954) 530-8638(954) 530-8638 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jimmy Peter Cassis Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMY PETER CASSIS ARNP (NPI 1508156357) is an individual psychiatric/mental health provider in Fort Lauderdale, Florida, licensed in Florida (ARNP 2642392) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1508156357
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJIMMY PETER CASSISCredential: ARNP
Location Address404 SE 15TH STFort Lauderdale, FL 33316-1942
Mailing Address5841 Ne 21st WayFort Lauderdale, FL 33308-2524 · (954) 530-8638
Fax(954) 530-8638
Sole ProprietorYes
Enumeration DateApril 13, 2011
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
NPI 1508156357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in FL · ARNP 2642392 Licensed in FL · ARNP2642392
404 SE 15TH ST, Fort Lauderdale, FL 33316

Other Identifiers 2

Medicaid014428800FL
OtherID168ZFL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy Cassis's NPI number?

The NPI number for Jimmy Cassis is 1508156357. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Jimmy Cassis located?

Jimmy Cassis practices at 404 SE 15th St, Fort Lauderdale, FL 33316. The listed phone number is (954) 530-8638.

What is Jimmy Cassis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jimmy Cassis was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.