Jimmy Peter Cassis, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP 2642392 Issued in FL

Practice address

404 SE 15TH St
Fort Lauderdale, FL 33316-1942

Phone

(954) 530-8638

Fax

(954) 530-8638

NPI assigned

Apr 13, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1508156357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 NE 21ST WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082524",
            "telephone_number": "954-530-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SE 15TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161942",
            "telephone_number": "954-530-8638",
            "fax_number": "954-530-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIS",
        "first_name": "JIMMY",
        "middle_name": "PETER",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2642392",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 2642392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014428800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ID168Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ralph Eugene Cash, PH.D.
• Jamie Casimir
• Wendi Cassand, LCSW, CAP
• Steven B Cassel, PHD
• Maryann Cassidy
• George-Daniel Baruiz Castanares, PT, DPT
• Paola Castaneda Rios
• Alexa Viktoria Castaneda, LMHC
• Katherine Castaneda
• Leonardo D Castaneda

• Psychiatric/Mental Health Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.