Krystal Family Clinic LLC
NPI 1811424708ActiveOrganization· Nurse Practitioner, Family· Mesquite, TX
Nurse Practitioner, Family in Mesquite, Texas, registered in NPPES in May 2017. The authorized official on file is Keyna Omenukor, NP, Ceo.
Overview
| NPI | 1811424708 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jun 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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