Individual provider Active NPI

De-Shaunah Dixon

  • Psychiatric/Mental Health Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1518614809
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11018537 Issued in FL
Practice address
1000 W McNab Rd Ste 124
Pompano Beach, FL 33069-4719
Phone
(803) 201-3078
NPI assigned
Mar 7, 2022
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 APRN11018537 FL Primary

Addresses

Primary practice location

1000 W McNab Rd Ste 124
Pompano Beach, FL 33069-4719

Mailing address

1000 W McNab Rd Ste 124
Pompano Beach, FL 33069-4719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240315002817 SC Practitioner - Nurse Practitioner 1850737503 Reassigns benefits to 1 organization
I20250304003955 FL Practitioner - Nurse Practitioner 1850737503 Reassigns benefits to 5 organizations
I20260429000130 NY Practitioner - Nurse Practitioner 1850737503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1616 Physicians Dr
Tallahassee, FL 32308-4619
Phone (850) 431-5910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11018537FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Single Specialty CurrentSince Feb 3, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc Single Specialty Current Accepting new patients
Re-Nu Mental Wellness Center Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Re-Nu Wellness Retreat LLC Current Accepting new patients
Tallahassee Memorial Healthcare Inc Single Specialty CurrentSince Feb 3, 2025 Accepting new patients
Nova Health LLC Single Specialty Past Accepting new patients

Locations

160 Cypress Point Pkwy
Ste 302
Palm Coast, FL 32164
Phone (815) 272-5813

160 Cypress Point Pkwy
Ste B302
Palm Coast, FL 32164
Phone (386) 230-4448

1000 W McNab Rd
Pompano Beach, FL 33069
Phone (954) 440-7858

1000 W McNab Rd
Ste 124
Pompano Beach, FL 33069
Phone (803) 201-3078

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1616 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-5105

333 Hempstead Ave
Ste 200
Malverne, NY 11565

1293 Professional Dr
Ste DV10
Myrtle Beach, SC 29577
Phone (954) 440-7858

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1518614809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W MCNAB RD STE 124",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MCNAB RD STE 124",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694719",
            "telephone_number": "803-201-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DE-SHAUNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.