Organization Active NPI

Rewild Natural Health Clinic

  • Clinic/Center
  • Reedsburg, WI
National Provider Identifier
1720969736
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REWILD NATURAL HEALTH CLINIC
Practice address
2560 E Main St Ste 2a
Reedsburg, WI 53959-9472
Phone
(608) 768-2250
Fax
(608) 768-2251
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Morgan Rachael Fulton, NPNPI 1477197176
Title
Owner
Phone
(608) 768-2250

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2560 E Main St Ste 2a
Reedsburg, WI 53959-9472

Mailing address

2560 E Main St Ste 2a
Reedsburg, WI 53959-9472
Phone (608) 768-2250

National Provider Directory

National Provider Directory

Locations

2560 E Main St
Ste 2A
Reedsburg, WI 53959
Phone (608) 768-2250

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": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1720969736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 E MAIN ST STE 2A",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539599472",
            "telephone_number": "608-768-2250",
            "fax_number": "608-768-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E MAIN ST STE 2A",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539599472",
            "telephone_number": "608-768-2250",
            "fax_number": "608-768-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWILD NATURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-768-2250",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.