LIVING TREE URGENT CARE
NPI 1366112922
Clinic/Center - Urgent Care in Logan, UT

Active since September 15, 2021CLIA 46D2298168 · Waiver
1635 N 200 E, LOGAN, UT 84341(435) 565-6043(435) 220-2030 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2025, Dec 12, 2023, Jul 10, 2023 and 1 more (4 updates tracked since 2021).

About Living Tree Urgent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING TREE URGENT CARE (NPI 1366112922) is a healthcare organization registered as an urgent care in Logan, Utah and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through January 29, 2028, maintains a secondary practice location in Logan, and lists Kris Coleman, Medical Office Coordinator, as its authorized official.

NPPES Registry Identity

NPI1366112922
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLIVING TREE URGENT CARE
Location Address1635 N 200 ELogan, UT 84341-1913
Mailing Address1635 N 200 ELogan, UT 84341-1913 · (435) 565-6043
Fax(435) 220-2030
Organization SubpartYesParent: Living Tree Medical Group
Authorized OfficialKris ColemanMedical Office Coordinator · (435) 770-2131
Enumeration DateSeptember 15, 2021
Last NPPES UpdateJuly 11, 20254 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1366112922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1635 N 200 E, Logan, UT 84341

Secondary Practice Location 1

Location 11201 S Main St Ste 110Logan, UT 84321-8504 · Phone (435) 565-6043 · Fax (435) 220-2030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Living Tree Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Living Tree Urgent Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1801356530
1219 N 400 E
Logan, UT 84341
(435) 565-6043
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1811519085
82 N 1250 E
Logan, UT 84321
(435) 770-1680
✔ PECOS✔ Accepts Medicare3.6 mi
Emergency Medicine
NPI 1679861157
3723 E LIBERTY LN
Gilbert, AZ 85296
(818) 464-6268
✔ PECOS582 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2298168

Living Tree Urgent Care · Logan, UT
Active · expires Jan 29, 2028
CLIA Number46D2298168
Laboratory TypeUrgent Care
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorMatthew J. Welter
Laboratory Phone(435) 565-6043
Laboratory LocationLiving Tree Urgent Care1635 North 200 East, Logan, UT 84321
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Tree Urgent Care's NPI number?

The NPI number for Living Tree Urgent Care is 1366112922. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is Living Tree Urgent Care located?

Living Tree Urgent Care is located at 1635 N 200 E, Logan, UT 84341. The listed phone number is (435) 565-6043.

What is Living Tree Urgent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Living Tree Urgent Care enrolled in Medicare?

Yes. Living Tree Urgent Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Living Tree Urgent Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Living Tree Urgent Care, in Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Living Tree Urgent Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2298168) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Living Tree Urgent Care accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Living Tree Urgent Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Living Tree Urgent Care was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.