Active NPI
Crestnova LLC
- Durable Medical Equipment & Medical Supplies
- Port St Lucie, FL
National Provider Identifier
1376442764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CRESTNOVA LLC
- Practice address
- 1501 SW Aledo LN
Port St Lucie, FL 34953-4145 - Phone
- (772) 924-4274
- NPI assigned
- Nov 3, 2026
- Last updated
- Nov 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mackenley Pierre
- Title
- Ceo
- Phone
- (772) 924-4274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1501 SW Aledo LN
Port St Lucie, FL 34953-4145
Mailing address
1501 SW Aledo LN
Port St Lucie, FL 34953-4145
Phone (772) 924-4274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793664000000",
"number": "1376442764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SW ALEDO LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349534145",
"telephone_number": "772-924-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SW ALEDO LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349534145",
"telephone_number": "772-924-4274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTNOVA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-03",
"last_updated": "2026-11-03",
"certification_date": "2026-11-03",
"status": "A",
"authorized_official_last_name": "PIERRE",
"authorized_official_first_name": "MACKENLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "772-924-4274"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- Paula Andrea Michelle Crawford-Harris, M.D.
- Paulette Elaine Crawford, PHARMD
- Sarah Caitlyn Crawford, MD
- Stefanie E Crawford, RN
- CRC Health Treatment Clinics, LLC (St Lucie Comprehensive Treatment Center)
- Julie D Crispin, M.D.
- Cristian J Presutti M.D. , P.L.
- Kristen Michele Crocker
- Julie A Cromer, DDS
- Edward Francis Crooks, RDMS, RDCS, RVT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.