Chacha Chavonne Smith

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

RK051473 Issued in OH

Practice address

190 Gerke Ave Apt 1
Mansfield, OH 44903-1571

Phone

(567) 307-9072

NPI assigned

Dec 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1790648699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GERKE AVE APT 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031571",
            "telephone_number": "567-307-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GERKE AVE APT 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031571",
            "telephone_number": "567-307-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHACHA",
        "middle_name": "CHAVONNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "RK051473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Smith
• Amy Louise Smith, RD LD
• Annette Donna Smith
• Barbara Smith, RN
• Camryana Alyse Smith, CT
• Deborah A Smith, LPN
• Gabrielle Smith
• James William Smith III
• Jeremy Smith
• Karen Morkel Smith, LISW

• Personal Care Attendant in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.