Wild Medicine Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WILD MEDICINE ACUPUNCTURE, LLC

Practice address

1121 Town Centre Dr Ste 202
Eagan, MN 55123-1370

Phone

(651) 447-7172

NPI assigned

Nov 18, 2025

Organization subpart

No

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

Authorized official

Name

Brittany Dirtzu, L.AC.NPI 1790378776

Title

Licensed Acupuncturist

Phone

(651) 447-7172

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brittany Ann Dirtzu, LAC

  • Acupuncturist
  • Sandy Springs, GA
  • NPI 1790378776
  NPD Authorized official

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1093676389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14405 DRUMLIN CT",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245949",
            "telephone_number": "651-262-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 TOWN CENTRE DR STE 202",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231370",
            "telephone_number": "651-447-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD MEDICINE ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "DIRTZU",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "651-447-7172",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Marie White
• Kristin E White, RN
• Taylor Whitney
• Cherilyn Wicks, MD
• Gabrielle Morgan Wienke, PT, DPT
• Stacey Wiles, OTR/L
• Gayle Marian Williams, SOCIAL WORKER
• Crystal Williamson, RN
• Elizabeth Willis, L.AC
• Nicholas Joseph Wills, M.D.

• Acupuncturist in Eagan, MN
• Providers in Eagan, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.