Wild Nature Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILD NATURE WELLNESS LLC

Practice address

330 Fiedler Ave Ste 207
Dillon, CO 80435-6930

Phone

(970) 368-2141

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Kristen GreenwaldNPI 1487010682

Title

Owner

Phone

(970) 368-2141

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.

• Kristen Kelly Greenwald, MSW, LSW

  • Social Worker
  • Dillon, CO
  • NPI 1487010682
  NPD (past) Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1801629241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "804980272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FIEDLER AVE STE 207",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804356930",
            "telephone_number": "970-368-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD NATURE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-368-2141"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivo F Waerlop, DC
• Walgreen Co
• Erin Wallace, PHARM.D
• Christena Ward, OD
• Wild Nature Wellness LLC
• Grace Wiseman
• Jennifer Wolinetz

• Clinical Social Worker in Dillon, CO
• Providers in Dillon, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.