Premier Family Health and Wellness PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PREMIER FAMILY HEALTH AND WELLNESS PLLC

Practice address

201 Oak Dr S Ste 203
Lake Jackson, TX 77566-5627

Phone

(979) 297-9086

Fax

(844) 971-6888

NPI assigned

Dec 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Krysta Danae Thompson, DNP, APRN, FNP-CNPI 1366007551

Title

Owner

Phone

(979) 297-9086

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krysta Danae Thompson, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Lake Jackson, TX
  • NPI 1366007551
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1780156893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR S STE 203",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665627",
            "telephone_number": "979-297-9086",
            "fax_number": "844-971-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S STE 203",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665627",
            "telephone_number": "979-297-9086",
            "fax_number": "844-971-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KRYSTA",
        "authorized_official_middle_name": "DANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-297-9086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Polhemus
• Charlotte D Ponish, LPC
• John Mathew Poothullil, M.D.,F.R.C.P,F.A.A.P
• Keshia Powell-Byerly, M.ED., LPC-A
• Eddye C Powell, RDH
• Prezas Family Medicine, P.a.
• Roland Prezas, D.O.
• Leah Price, OTR
• Primary Care Associates of Lake Jackson, PLLC
• Mark A Provenzano, O.D.

• Family Nurse Practitioner in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.