CEDAR SAGE PLLC
NPI 1619638293
Nurse Practitioner - Psychiatric/Mental Health in Fayette, IA

Active since January 05, 2022
143 S MAIN ST, FAYETTE, IA 52142(319) 415-4728 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedar Sage Pllc NPPES

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

CEDAR SAGE PLLC (NPI 1619638293) is a healthcare organization registered as a psychiatric/mental health in Fayette, Iowa and active in the NPI registry since January 2022. The organization lists Miranda Franck, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1619638293
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCEDAR SAGE PLLC
Location Address143 S MAIN STFayette, IA 52142-7701
Mailing AddressPo Box 26Fairbank, IA 50629-0026 · (319) 415-4728
Organization SubpartNo
Authorized OfficialMiranda FranckPmhnp · (319) 415-4728
Enumeration DateJanuary 5, 2022
NPPES CertifiedJanuary 5, 2022
NPI 1619638293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
143 S MAIN ST, Fayette, IA 52142

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 (Psychiatric/Mental Health)
143 S MAIN ST
FAYETTE, IA 52142
Clinic/Center (Dental)
143 S MAIN ST
FAYETTE, IA 52142

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 Cedar Sage PLLC's NPI number?

The NPI number for Cedar Sage PLLC is 1619638293. It was assigned to this organization in the NPPES registry on January 5, 2022.

Where is Cedar Sage PLLC located?

Cedar Sage PLLC is located at 143 S Main St, Fayette, IA 52142. The listed phone number is (319) 415-4728.

What is Cedar Sage PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Cedar Sage PLLC was last updated on January 5, 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.