Active NPI
Michelle Lumiwes Maravilla
- Registered Nurse
- Vacaville, CA
National Provider Identifier
1215812011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95113532
- Practice address
- 477 Aster St
Vacaville, CA 95688-9598 - Phone
- (707) 592-9387
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95113532 | CA | Primary |
Addresses
Primary practice location
477 Aster St
Vacaville, CA 95688-9598
Mailing address
477 Aster St
Vacaville, CA 95688-9598
Phone (707) 592-9387
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95113532 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1215812011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 ASTER ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889598",
"telephone_number": "707-592-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 ASTER ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889598",
"telephone_number": "707-592-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARAVILLA",
"first_name": "MICHELLE",
"middle_name": "LUMIWES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95113532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
- Dakota Mantele
- Mantena and Ghazal Dental Corporation (Nut Tree Smiles Dentistry and Orthodontics Dental Group)
- Julieann Manzanilla
- Aileen Manzano, D.M.D
- Percival Magpusao Manzano, DDM
- Jennifer Marcelli
- Jason James Marengo, M.D.
- George W. Mares, COUNSELOR
- Anthony Marino, D.D.S., M.S.
- Shauna Marioni II, MSN, NP, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.