Active NPI
Jennifer Mary Cassidy, ARNP
- Critical Care Pediatric Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1033655840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- ARNP 9319302
- Practice address
- 3501 Johnson St
#4440
Hollywood, FL 33021-5421 - Phone
- (954) 265-6301
- Fax
- (954) 266-4006
- NPI assigned
- Jan 18, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | ARNP 9319302 | FL | Primary |
Addresses
Primary practice location
3501 Johnson St
#4440
Hollywood, FL 33021-5421
Mailing address
11045 NW 46TH Dr
Coral Springs, FL 33076-2134
Phone (954) 552-2393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9319302 | FL | MD | Critical Care Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1033655840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11045 NW 46TH DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330762134",
"telephone_number": "954-552-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"address_2": "#4440",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-265-6301",
"fax_number": "954-266-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "JENNIFER",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "FL",
"license": "ARNP 9319302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.