Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Detrese Denese Mixon, CNA,CMA

Community Health Worker in Jacksonville, FL · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891964243

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Registry record

Entity type Individual (Type 1)

Name Mrs. Detrese Denese Mixon

Credential CNA,CMA

Sex Female

Practice address Jacksonville, FL, 32209

Phone (904) 766-5815

Enumeration date Feb 29, 2008

Last updated in NPPES Feb 29, 2008

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

172V00000X Community Health Worker Other Service Providers · License CNA 112950 (FL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Detrese Mixon practice?

The practice location on file with NPPES is in Jacksonville, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Detrese Mixon?

The National Provider Identifier (NPI) for Detrese Mixon is 1891964243, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-29.