Christine A Crevello, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9104469 Issued in FL

Practice address

148 13TH St SW
Largo, FL 33770-3127

Phone

(727) 581-8706

Fax

(727) 588-2447

NPI assigned

Feb 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ccrevello@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Eye Physicians of Pinellas, PA

  • Ophthalmology Physician
  • Largo, FL
  • NPI 1114925153
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1740459031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2410",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337792410",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREVELLO",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004947000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L Crank Jr., D.O.
• Creative Behavior Solutions, LLC
• Alicia A Creighton, RN
• Lollie Crenshaw, PT
• Kelly Cressman, APRN
• Jacklyn Danielle Crisanti
• Deborah Crites, RRT
• Cronin Counseling Service
• Keri Crotty
• Emily Jane Crouch, DOM

• Surgical Physician Assistant in Largo, FL
• Providers in Largo, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.