Roxanne Miles Wilson, MN,FNP/GNP,DSD,PHN,C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

6708 Issued in CA

Practice address

23055 Mariano St
Woodland Hills, CA 91367-6135

Phone

(818) 522-2612

Fax

(818) 912-6449

NPI assigned

Aug 7, 2011

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1427337559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23055 MARIANO STRE",
            "address_2": "ROXANNE WILSON CONSULTING",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "818-522-2612",
            "fax_number": "818-912-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23055 MARIANO ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676135",
            "telephone_number": "818-522-2612",
            "fax_number": "818-912-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROXANNE",
        "middle_name": "MILES",
        "name_prefix": "Ms.",
        "credential": "MN,FNP/GNP,DSD,PHN,C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-07",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN362861",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "RN362861",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "6708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willows Hospice
• James Anthony Wilson, PA
• Janelle Rae Wilson
• Jennifer Leanne Wilson
• Kenisha Wilson
• Wind Breeze Hospice Inc
• Destine Michelle Windbush
• Suzanne M Winick, MFT
• Michelle Winkel, MFT, ATR
• Andrea C. Winnick, MD

• Gerontology Nurse Practitioner in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.