Shawn Antonio Dwight, PMHNP B-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R257449 Issued in MD

Practice address

200 Washington Ave FL 5
Towson, MD 21204-4763

Phone

(443) 452-8469

NPI assigned

Sep 11, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Blackstar Solutions LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1902541352

  Single Specialty

  Medicare reassignment NPD
• Mind & Soul Telewellness LLC

  • Mental Health Counselor
  • Towson, MD
  • NPI 1205495496
  Medicare reassignment
• Blackstar Solutions LLC

  • Community/Behavioral Health Agency
  • Owings Mills, MD
  • NPI 1659244564
  NPD

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1144101395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON AVE FL 5",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON AVE FL 5",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044763",
            "telephone_number": "443-452-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWIGHT",
        "first_name": "SHAWN",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "PMHNP B-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R257449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Durant, PT
• Leslie Matthews Durum, WHNP
• Dustin Sentz LLC
• Dvine Healthcare Inc
• Rachel Louise Dvoskin, LGPC
• Ronald William Dworkin, M.D.
• Mark Dwyer, M.D.
• Deprise Dye
• Sarah Elizabeth Dyer, CRNP
• Dynasty Medical Services LLC

• Psychiatric/Mental Health Nurse Practitioner in Towson, MD
• Providers in Towson, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.