Individual provider Active NPI

Mary-Lyn P Taylor-Smith, MSCN, LE

  • Nutritionist
  • Hagerstown, MD
National Provider Identifier
1104744614
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
16825 Shinham Rd
Hagerstown, MD 21740-2216
Phone
(781) 307-2974
NPI assigned
Jul 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X MD Primary

Addresses

Primary practice location

16825 Shinham Rd
Hagerstown, MD 21740-2216

Mailing address

16825 Shinham Rd
Hagerstown, MD 21740-2216

Other names 1

  • Mary Taylor-Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1104744614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16825 SHINHAM RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16825 SHINHAM RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402216",
            "telephone_number": "781-307-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-SMITH",
        "first_name": "MARY-LYN",
        "middle_name": "P",
        "credential": "MSCN, LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TAYLOR-SMITH",
            "credential": "MSCN, LE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.