Organization Active NPI

Crestline Medical PLLC

  • Surgical Assistant
  • Clearwater, FL
National Provider Identifier
1679404214
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
CRESTLINE MEDICAL PLLC
Practice address
29399 US Hwy 19N
Suite 150
Clearwater, FL 33761
Phone
(727) 258-3743
NPI assigned
May 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Kasey Robertson, CHIEF ADMIN OFFICER
Title
Cao
Phone
(210) 422-4613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

29399 US Hwy 19N
Suite 150
Clearwater, FL 33761

Mailing address

29399 US Hwy 19N
Suite 150
Clearwater, FL 33761
Phone (727) 258-3743

National Provider Directory

National Provider Directory

Locations

29399 US Highway 19 N
Ste 150
Clearwater, FL 33761
Phone (727) 258-3743

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1679404214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29399 US HWY 19N",
            "address_2": "SUITE 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-258-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29399 US HWY 19N",
            "address_2": "SUITE 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-258-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTLINE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "210-422-4613",
        "authorized_official_credential": "CHIEF ADMIN OFFICER"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.