Organization Active NPI

Wild Willow Natural Medicine LLC

  • Sports Physician Chiropractor
  • Hartford, WI
National Provider Identifier
1821636929
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
WILD WILLOW NATURAL MEDICINE LLC
Practice address
45 Hilldale Dr Ste a
Hartford, WI 53027-2637
Phone
(262) 677-1136
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Dr. Jennifer May Bryant, DC
Title
Chiropractor
Phone
(262) 706-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

45 Hilldale Dr Ste a
Hartford, WI 53027-2637

Mailing address

45 Hilldale Dr Ste a
Hartford, WI 53027-2637
Phone (262) 677-1136

National Provider Directory

National Provider Directory

Locations

45 Hilldale Dr
#A
Hartford, WI 53027
Phone (262) 677-1136

Practitioners & affiliated clinicians

Practitioners 2

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": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1821636929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HILLDALE DR STE A",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272637",
            "telephone_number": "262-677-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HILLDALE DR STE A",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272637",
            "telephone_number": "262-677-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD WILLOW NATURAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-706-5668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.