MS. ROXANNE MILES WILSON (NPI# 1427337559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427337559 |
Entity Type | Individual |
Full Name | MS. ROXANNE MILES WILSON |
Credential | MN,FNP/GNP,DSD,PHN,C |
Practice Address |
5140 Yolanda Ave Tarzana CA 91356-4027 |
Practice Telephone | 8183448646 |
Mailing Telephone | 8183448646 |
Enumeration Date | 2011-08-07 |
Last Update Date | 2018-04-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN362861 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
6708 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN362861 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427692623 | Roxanne Franklin Wilson | Nutritionist | 1900 Ne Highway 99w Ste K, Mcminnville, OR 97128-2757 | 2019-10-30 |
1265981427 | Roxanne Wilson | Counselor | 1115 W Chestnut St, Suite 101, Brockton, MA 02301-7501 | 2016-09-29 |
1659828408 | Roxanne Wilson | Counselor | 24 Great Plains Rd, Arapahoe, WY 82510 | 2016-09-08 |
1669858858 | Roxanne Wilson | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2015-08-11 |
Street Address |
5140 YOLANDA AVE |
City | TARZANA |
State | CA |
Zip Code | 91356-4027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
Find all providers in zip 91356 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.