Healthcare Provider Details

I. General information

NPI: 1831845684
Provider Name (Legal Business Name): BRITTANY SMITH IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date: 03/07/2022
Reactivation Date: 01/23/2025

III. Provider practice location address

5344 MARCONI AVE APT 250
CARMICHAEL CA
95608-4370
US

IV. Provider business mailing address

5344 MARCONI AVE APT 250
CARMICHAEL CA
95608-4370
US

V. Phone/Fax

Practice location:
  • Phone: 510-928-3561
  • Fax:
Mailing address:
  • Phone: 510-928-3561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-302513
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: