Michelle Rose Ciaravella, L.P.N.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

292876 Issued in CA

Practice address

842 Lakeville Cir
Petaluma, CA 94954-5740

Phone

(631) 255-6167

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1215288477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 LAKEVILLE CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545740",
            "telephone_number": "631-255-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 LAKEVILLE CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545740",
            "telephone_number": "631-255-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIARAVELLA",
        "first_name": "MICHELLE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NY",
            "license": "366267",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311777",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "292876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Chojnacki
• Ralph David Christensen, DENTIST DDS
• Karen Christianson
• Nataliya Chul
• Elene Hwa-Yihg Chung, L.AC.
• Cinnabar School District
• City of Petaluma Ambulance Service
• Civileyes LLC
• Ashley Michelle Clark
• Jennifer A Clark, LCSW

• Licensed Vocational Nurse in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.