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KRYSTAL FAMILY PSYCHIATRY PLLC
NPI 1699492298
Nurse Practitioner - Psychiatric/Mental Health in Mesquite, TX

Active since October 24, 2022
1675 REPUBLIC PKWY STE 104, MESQUITE, TX 75150(469) 231-7232 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2024, Mar 5, 2024, Oct 24, 2022 (3 updates tracked since 2022).

About Krystal Family Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL FAMILY PSYCHIATRY PLLC (NPI 1699492298) is a healthcare organization registered as a psychiatric/mental health in Mesquite, Texas and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Spokane and lists Keyna Nkemjika Omenukor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699492298
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKRYSTAL FAMILY PSYCHIATRY PLLC
Location Address1675 REPUBLIC PKWY STE 104Mesquite, TX 75150-6902
Mailing Address1675 Republic Pkwy Ste 190Mesquite, TX 75150-6902 · (469) 231-7232
Phone(469) 231-7232
Organization SubpartNo
Authorized OfficialKeyna Nkemjika OmenukorCeo · (469) 231-7232
Enumeration DateOctober 24, 2022
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1699492298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1675 REPUBLIC PKWY STE 104, Mesquite, TX 75150
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Secondary Practice Location 1

Location 1522 W Riverside Ave # 5343Spokane, WA 99201-0580 · Phone (972) 576-7399

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE CAROL RENTERIA RBT
Behavior Technician
1675 REPUBLIC PKWY STE 104
MESQUITE, TX 75150
Dallas County (214) 817-2457
ANAKAREN RODRIGUEZ RBT
Behavior Technician
1675 REPUBLIC PKWY STE 104
MESQUITE, TX 75150
Dallas County (214) 817-2457
CASEY BRUNSON
Behavior Analyst
1675 REPUBLIC PKWY STE 104
MESQUITE, TX 75150
Dallas County (214) 817-2457
JASMINE R GARCIA RBT
Behavior Technician
1675 REPUBLIC PKWY STE 104
MESQUITE, TX 75150
Dallas County (214) 817-2457
CHARLOTTE MARIE VAZQUEZ QUINONES RBT
Behavior Technician
1675 REPUBLIC PKWY STE 104
MESQUITE, TX 75150
Dallas County (972) 885-9555
JORIA CYNTHIA STJOHN
Behavior Technician
1675 REPUBLIC PKWY STE 104
MESQUITE, TX 75150
Dallas County (972) 885-9555
NATALIA DANIEL
Behavior Technician
1675 REPUBLIC PKWY STE 104
MESQUITE, TX 75150
Dallas County (972) 885-9555
RAAHAT SIDDIQUI
Behavior Analyst
1675 REPUBLIC PKWY STE 104
MESQUITE, TX 75150
Dallas County (214) 817-2457

Frequently Asked Questions

What is KRYSTAL FAMILY PSYCHIATRY PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1699492298, enumerated as an "organization" on October 24, 2022.

Where is the provider located?

The provider is located at 1675 REPUBLIC PKWY STE 104 MESQUITE, TX 75150 and the phone number is (469) 231-7232.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

What insurance does KRYSTAL FAMILY PSYCHIATRY PLLC accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.