WASATCH FUNCTIONAL MEDICINE
NPI 1396499414
Clinic/Center in South Ogden, UT

Active since February 08, 2022
5711 S 1475 E STE 201, SOUTH OGDEN, UT 84403(801) 332-9034 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wasatch Functional Medicine NPPES

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

WASATCH FUNCTIONAL MEDICINE (NPI 1396499414) is a healthcare organization registered as a clinic/center in South Ogden, Utah and active in the NPI registry since February 2022. The organization lists Catherine Kelly Pierce, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1396499414
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWASATCH FUNCTIONAL MEDICINE
Location Address5711 S 1475 E STE 201South Ogden, UT 84403-5185
Mailing Address5711 S 1475 E Ste 201South Ogden, UT 84403-5185 · (801) 332-9034
Organization SubpartNo
Authorized OfficialCatherine Kelly PierceOwner/nurse Practitioner · (801) 332-9034
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
NPI 1396499414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
5711 S 1475 E STE 201, South Ogden, UT 84403

Other Names 1

Doing Business AsWasatch Functional Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5711 S 1475 E STE 201
SOUTH OGDEN, UT 84403
Nurse Practitioner (Family)
5711 S 1475 E STE 201
SOUTH OGDEN, UT 84403

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 Wasatch Functional Medicine's NPI number?

The NPI number for Wasatch Functional Medicine is 1396499414. It was assigned to this organization in the NPPES registry on February 8, 2022.

Where is Wasatch Functional Medicine located?

Wasatch Functional Medicine is located at 5711 S 1475 E Ste 201, South Ogden, UT 84403. The listed phone number is (801) 332-9034.

What is Wasatch Functional Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Wasatch Functional Medicine was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.