Individual provider Active NPI

Lashanta Renee Dixon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1700762069
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R245585 Issued in MD
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

Updated by the provider on May 19, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231001740 DC Practitioner - Nurse Practitioner 0143716183 Reassigns benefits to 2 organizations

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
Nimel Mental HealthGroup PAC ID 0143630731, 4 clinicians

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

LicenseStateTypeSpecialty
R245585MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nimel Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Nimel Mental Health CurrentSince Dec 1, 2025 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.

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

Verify at the official NPI Registry.