Wild Root Direct Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WILD ROOT DIRECT CARE LLC

Practice address

8801 Chaffee Rd
Arlington, TN 38002-1545

Phone

(901) 846-6555

NPI assigned

May 7, 2026

Organization subpart

No

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

Authorized official

Name

Mildred Clements, FNP-CNPI 1487520490

Title

Owner

Phone

(901) 846-6555

Specialties & licenses 1

Addresses

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.

• Mildred Maegan Clements, FNP-C

  • Family Nurse Practitioner
  • Arlington, TN
  • NPI 1487520490
  NPD (past) Authorized official

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1013844588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 CHAFFEE RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380021545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 CHAFFEE RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380021545",
            "telephone_number": "901-846-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROOT DIRECT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-846-6555",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 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.