Individual provider Active NPI

Karissa Lavelle Dungy, MSN, APRN, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1992390686
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1031595 Issued in TX
Practice address
4425 S Mopac Expy
Ste 502
Austin, TX 78735
Phone
(210) 557-0329
Fax
(210) 899-1221
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1031595 TX Primary

Addresses

Primary practice location

4425 S Mopac Expy
Ste 502
Austin, TX 78735

Mailing address

4425 S Mopac Expy Ste 205
Austin, TX 78735-6711
Phone (512) 708-9477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1031595TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Apr 1, 2021 Accepting new patients

Locations

4425 S Mopac Expy
Ste 502
Austin, TX 78735
Phone (512) 569-9695

402 W University Ave
Georgetown, TX 78626

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1992390686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S MOPAC EXPY STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356711",
            "telephone_number": "512-708-9477",
            "fax_number": "210-899-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S MOPAC EXPY",
            "address_2": "STE 502",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78735",
            "telephone_number": "210-557-0329",
            "fax_number": "210-899-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGY",
        "first_name": "KARISSA",
        "middle_name": "LAVELLE",
        "credential": "MSN, APRN, PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1031595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.