Organization Active NPI

Wild Roots Wellness

  • Family Medicine Physician
  • Richfield, UT
National Provider Identifier
1003601451
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILD ROOTS WELLNESS
Practice address
1166 South State Road 118
Richfield, UT 84701
Phone
(435) 893-5823
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Chelsea Harrison, FNP-BCNPI 1194538801
Title
FNP
Phone
(435) 893-5823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1166 South State Road 118
Richfield, UT 84701

Mailing address

1166 S Sr 118
Richfield, UT 84701-3116
Phone (435) 893-5823

Other names 1

  • Wild Roots Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1003601451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 S SR 118",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847013116",
            "telephone_number": "435-893-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 SOUTH STATE ROAD 118",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "84701",
            "telephone_number": "435-893-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROOTS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "435-893-5823",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Roots Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.