Wild Iris LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5448 Issued in AK

Legal business name

WILD IRIS LLC

Doing business as

Wild Iris Family Medicine and Maternity Care

Practice address

851 E Westpoint Dr Ste 207
Wasilla, AK 99654-7183

Phone

(907) 373-9453

NPI assigned

Oct 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Harrison, M.D.NPI 1821004383

Title

Owner/Physician

Phone

(907) 373-9453

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wild Iris Family Medicine and Maternity Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa L Harrison, MD

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1821004383
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1003244211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR STE 207",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547183",
            "telephone_number": "907-373-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR STE 207",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547183",
            "telephone_number": "907-373-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD IRIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "907-373-9453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012605",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Iris Family Medicine and Maternity Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candice Wiggs
• Brian D Wight, DDS
• Angela Wilbanks, PMHNP-BC
• John J Wilcox, FNP
• Wild and Rooted Wellness
• Wildfree Kids OT, LLC
• Zoe Wilkens, OTD, OTR/L
• Mallory J Wilkins, MS,CCC-SLP
• Janet Lynn Wilkinson, APNP
• Annie C Willardson

• Family Medicine Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.