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NPI Code Detail

MEDICARE: CHARDONNAY BRIANA SMITH

MEDICARE: CHARDONNAY BRIANA SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1932999612
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARDONNAY BRIANA SMITH
Provider Business Mailing Address
First Line : 5846 ROBISON RD APT 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2140
Country : US
Telephone Number : 513-658-3408
Fax Number :
Provider Business Practice Location Address
First Line : 4721 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6107
Country : US
Telephone Number : 855-577-7284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2025
Last Update Date : 12/26/2025

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Directions to “ CHARDONNAY BRIANA SMITH ” Practice Location

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