Individual provider Active NPI

Lashelle Yolonne Dixon, CRNP

  • Family Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1629213152
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R155151 Issued in MD
Practice address
157 Baltimore St Ste 100
Cumberland, MD 21502-2472
Phone
(301) 722-0484
Fax
(833) 903-0130
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R155151 MD Primary

Addresses

Primary practice location

157 Baltimore St Ste 100
Cumberland, MD 21502-2472

Mailing address

157 Baltimore St Ste 100
Cumberland, MD 21502-2472
Phone (301) 722-0484

Other identifiers 1

IdentifierTypeStateIssuer
417268000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA3 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
I20090616000400 MD Practitioner - Nurse Practitioner 1355491267 Reassigns benefits to 3 organizations
I20150622000751 DC Practitioner - Nurse Practitioner 1355491267 Reassigns benefits to 2 organizations
I20200803002056 PA Practitioner - Nurse Practitioner 1355491267 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Pain & Rehabilitation Center CurrentSince Jan 19, 2021 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Nov 1, 2021 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Nov 1, 2021 Accepting new patients
Center for Pain Management, LLC CurrentSince May 4, 2015 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Aug 10, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 2, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Aug 10, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 2, 2020 Accepting new patients
Choice Pain & Rehabilitation Center, LLC CurrentSince Jan 19, 2021 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Nov 1, 2021 Accepting new patients
Maryland Inpatient Care Specialists LLC Past Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

1005 Northpoint Blvd
Ste 722
Baltimore, MD 21224
Phone (240) 534-3289

16900 Science Dr
Ste 100
Bowie, MD 20715
Phone (301) 464-7008

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

305 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8100

8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (202) 689-4398

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

601 7th St
Ste 304
Laurel, MD 20707
Phone (410) 220-0280

18540 Office Park Dr
Montgomry Vlg, MD 20886
Phone (301) 330-3900

11921 Rockville Pike
Ste 505
Rockville, MD 20852
Phone (301) 881-7246

40 York Rd
Ste 201
Towson, MD 21204
Phone (410) 220-0780

5430 Campbell Blvd
Ste 106
White Marsh, MD 21162
Phone (443) 725-4930

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

228 Saint Charles Way
Ste 300
York, PA 17402
Phone (717) 812-2055

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Organizations & group practices 12

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": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1629213152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST STE 100",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST STE 100",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "LASHELLE",
        "middle_name": "YOLONNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R155151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417268000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.