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

Q: What is Krystal Family Psychiatry PLLC's NPI number?

The NPI number for Krystal Family Psychiatry PLLC is 1699492298. It was assigned to this organization in the NPPES registry on October 24, 2022.

Q: What is Krystal Family Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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: August 09, 2026.

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

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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.

JASMINE R GARCIA RBT

Behavior Technician