Active NPI
Lashanta Renee Dixon, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1700762069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R245585
- Practice address
- 576 Old Town Mall
Baltimore, MD 21202-4190 - Phone
- (443) 571-7611
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R245585 | MD | Primary |
Addresses
Primary practice location
576 Old Town Mall
Baltimore, MD 21202-4190
Mailing address
101 Butterfield Ave
Taneytown, MD 21787-3600
Phone (667) 367-8403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1004 Littlestown Pike
Suite A1
Westminster, MD 21157-3042
Phone (410) 386-1180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R245585 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nimel Mental Health | Current | Accepting new patients | |
| Nimel Mental Health | Current | Accepting new patients |
Locations
6215 Greenbelt Rd
Ste 107
Berwyn Heights, MD 20740
Phone (301) 263-4890
1004 Littlestown Pike
Ste A1
Westminster, MD 21157
Phone (410) 386-1180
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Berwyn Heights, MD
- NPI 1609450576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1700762069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BUTTERFIELD AVE",
"city": "TANEYTOWN",
"state": "MD",
"postal_code": "217873600",
"telephone_number": "667-367-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 OLD TOWN MALL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024190",
"telephone_number": "443-571-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "LASHANTA",
"middle_name": "RENEE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R245585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.