Individual provider Active NPI

Angela Taylor, DCN, MS, CNS, LDN

  • Nutritionist
  • Baltimore, MD
National Provider Identifier
1356796924
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX4804 Issued in MD
Practice address
5801 Roland Ave
Baltimore, MD 21210-1309
Phone
(410) 561-6241
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Nutritionist 133N00000X DX4804 MD Primary

Addresses

Primary practice location

5801 Roland Ave
Baltimore, MD 21210-1309

Mailing address

5801 Roland Ave
Baltimore, MD 21210-1309
Phone (410) 561-6241

Other identifiers 2

IdentifierTypeStateIssuer
DX4804OtherMDLICENSED DIETICIAN NUTRITIONIST
CNS17850OtherBOARD OF CERTIFIED NUTRITION SPECIALISTS

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)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DX4804MDMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1356796924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ROLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101309",
            "telephone_number": "410-561-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ROLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101309",
            "telephone_number": "410-561-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DCN, MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETICIAN NUTRITIONIST",
            "identifier": "DX4804",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFIED NUTRITION SPECIALISTS",
            "identifier": "CNS17850",
            "state": null
        }
    ],
    "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 Dec 2, 2025; 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.