Individual provider Active NPI

Kristin Yeung Lasseter, MD

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1003236035
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R8593 Issued in TX
Practice address
4022 Menchaca Rd
Austin, TX 78704-6746
Phone
(512) 982-4116
Fax
(512) 265-9008
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R8593 TX Primary

Addresses

Primary practice location

4022 Menchaca Rd
Austin, TX 78704-6746

Mailing address

4022 Menchaca Rd
Austin, TX 78704-6746
Phone (512) 982-4116

Other names 1

  • Kristin Michelle Yeung Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001092 TX Order and Referring Only - PsychiatryPractitioner - Psychiatry 1355632589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Lasseter, MD, PLLC Psychiatry Current Accepting new patients

Locations

2525 Wallingwood Dr
Ste 7D-704
Austin, TX 78746
Phone (512) 610-0612

4022 Menchaca Rd
Austin, TX 78704
Phone (281) 903-5897

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1003236035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046746",
            "telephone_number": "512-982-4116",
            "fax_number": "512-265-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046746",
            "telephone_number": "512-982-4116",
            "fax_number": "512-265-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSETER",
        "first_name": "KRISTIN",
        "middle_name": "YEUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R8593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "YEUNG",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.