Crystal Warner, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

3203 Cornell Dr
Gulf Breeze, FL 32563-2782

Phone

(850) 677-8607

NPI assigned

Sep 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1861828592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 CORNELL DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632782",
            "telephone_number": "850-677-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 CORNELL DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632782",
            "telephone_number": "850-677-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "CRYSTAL",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harlan David Wallner, RMHCI
• Gail Walsh, LMT
• Julie Walsh
• Sarah Lewis Wandell, PT
• Jayden Ward
• Christopher Neil Watson, PA-C
• Jennifer Michelle Watson, MPT
• Scarlet Watson, MS, CCC-SLP
• Wave Therapy
• Waypoint Direct Primary Care PLLC

• Surgical Physician Assistant in Gulf Breeze, FL
• Providers in Gulf Breeze, 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 Dec 30, 2015; 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.