Krystal Family Clinic LLC
NPI 1811424708 · Family Nurse Practitioner · Mesquite, TX
Krystal Family Clinic LLC is a Family Nurse Practitioner organization in Mesquite, TX (NPI 1811424708).
Provider details
- NPI number
- 1811424708
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Keyna Omenukor, Ceo(972) 576-7399
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-22
- Last updated
- 2022-07-21
- Certified
- 2022-06-14
Frequently asked questions
- What is Krystal Family Clinic LLC's NPI number?
- Krystal Family Clinic LLC's National Provider Identifier (NPI) is 1811424708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Krystal Family Clinic LLC?
- Krystal Family Clinic LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Krystal Family Clinic LLC located?
- Krystal Family Clinic LLC's practice location on file with NPPES is 1675 Republic Pkwy Ste 101, Mesquite, TX 75150-6902.
- What is Krystal Family Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Krystal Family Clinic LLC is (972) 576-7399.
- Who is the authorized official for Krystal Family Clinic LLC?
- The authorized official listed on Krystal Family Clinic LLC's NPPES record is Keyna Omenukor, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Krystal Family Clinic LLC's NPI active?
- Yes — Krystal Family Clinic LLC's NPI (1811424708) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.