Shakia Mixon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R240365 Issued in MD

Practice address

1301 York Rd Ste 800
Lutherville Timonium, MD 21093-6011

Phone

(980) 699-5320

NPI assigned

Jan 10, 2025

Last updated

Sep 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MD2 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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Wound Care LLCGroup PAC ID 0143674465, 17 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Nursing Care, LLC

  dba Beyond Wound Medicine

  • Primary Care Clinic/Center
  • Mesquite, TX
  • NPI 1295627834

  Family, MD

  Medicare reassignment NPD Authorized official
• Dynamic Wound Care LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1598541427

  TX

  Medicare reassignment Care Compare group NPD
• Beyond Nursing Care, LLC

  dba HOME by Beyond

  • In Home Supportive Care Agency
  • Lutherville Timonium, MD
  • NPI 1194656058
  NPD (past) Authorized official
• Beyond Nursing Care, LLC

  dba SHIFT by Beyond

  • Home Health Agency
  • Lutherville Timonium, MD
  • NPI 1205792702
  NPD (past) Authorized official

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1710797998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 800",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936011",
            "telephone_number": "980-699-5320",
            "fax_number": "214-807-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 800",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936011",
            "telephone_number": "980-699-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 US Highway 80 E Ste 455",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751503355",
            "country_code": "US",
            "telephone_number": "980-699-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIXON",
        "first_name": "SHAKIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R240365",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R240365",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "R240365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Marie Mentzer, LCSW -C
• Anne Merritt, LCSW-C
• Jennifer Lynn Miller, LGPC
• Zachary S Mitchell, PT, DPT
• Miu Group LLC (MIU Center)
• MLC Counseling and Holistic Wellness, LLC
• MPG Neurohealth LLC
• David Mwangi
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Nutrition Coaching Center

• Family Nurse Practitioner in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.