Individual provider Active NPI

Christopher Mourra Cassis, APRN

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1376009464
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000210 Issued in FL
Practice address
21200 Saint Andrews Blvd Ste 6
Boca Raton, FL 33433-2403
Phone
(561) 409-2340
NPI assigned
Feb 14, 2019
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 11000210 FL Primary

Addresses

Primary practice location

21200 Saint Andrews Blvd Ste 6
Boca Raton, FL 33433-2403

Mailing address

7917 NW 82ND CT
Tamarac, FL 33321-1501
Phone (305) 778-3861

Other practice location 1

10383 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3782
Phone (561) 739-5252

Other names 1

  • Mr. Christopher Mourra Thompson Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11000210FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1376009464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 NW 82ND CT",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211501",
            "telephone_number": "305-778-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 SAINT ANDREWS BLVD STE 6",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332403",
            "telephone_number": "561-409-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10383 Hagen Ranch Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373782",
            "country_code": "US",
            "telephone_number": "561-739-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MOURRA",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "THOMPSON",
            "middle_name": "MOURRA",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.