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LIVING TREE MEDICAL GROUP
NPI 1639754583
Family Medicine in Logan, UT

Active since March 12, 2021CLIA Certified · 2 labs
1635 N 200 E, LOGAN, UT 84341(435) 565-6043(435) 215-4420 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Dec 12, 2023, Oct 25, 2023 and 3 more (6 updates tracked since 2021).

About Living Tree Medical Group NPPES

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

LIVING TREE MEDICAL GROUP (NPI 1639754583) is a healthcare organization registered as a family medicine in Logan, Utah and active in the NPI registry since March 2021. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Kris Coleman, Coc, as its authorized official.

NPPES Registry Identity

NPI1639754583
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIVING TREE MEDICAL GROUP
Location Address1635 N 200 ELogan, UT 84341-1913
Mailing Address1635 N 200 ELogan, UT 84341-1913 · (435) 565-6043 · Fax (435) 220-2030
Phone(435) 565-6043
Fax(435) 215-4420
Organization SubpartNo
Authorized OfficialKris ColemanCoc · (435) 770-2131
Enumeration DateMarch 12, 2021
Last NPPES UpdateJuly 11, 20256 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1639754583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1635 N 200 E, Logan, UT 84341
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1169 N Gateway Dr Ste 170Providence, UT 84332-9855 · Phone (435) 565-6043 · Fax (435) 215-4420
Location 21219 N 400 ELogan, UT 84341-2321 · Phone (435) 565-6043 · Fax (435) 215-4420

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 46D2246257

Living Tree Medical Group · Providence, UT
Active · expires Dec 21, 2027
CLIA Number46D2246257
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorMatthew J. Welter
Laboratory Phone(435) 565-6043
Laboratory LocationLiving Tree Medical Group169 N Gateway Drive, Suite 170, Providence, UT 84332
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2232587

Living Tree Medical Group LLC · Logan, UT
Active · expires Aug 15, 2027
CLIA Number46D2232587
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorLauren Tree
Laboratory Phone(435) 565-6043
Laboratory LocationLiving Tree Medical Group LLC1635 N 200 E, Logan, UT 84341
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

CANNON CHIROPRACTIC LLC
Chiropractor
1635 N 200 E
NORTH LOGAN, UT 84341
Cache County (435) 755-7654
MRS. GINA GASSER JORDAN FNP
Nurse Practitioner
1635 N 200 E
NORTH LOGAN, UT 84341
Cache County (435) 565-6043
MR. REX ALAN SPENDLOVE LPC
Counselor (Professional)
1635 N 200 E
NORTH LOGAN, UT 84341
Cache County (435) 890-5538
LIVING TREE URGENT CARE
Clinic/Center (Urgent Care)
1635 N 200 E
LOGAN, UT 84341
Cache County (435) 565-6043
ADVANCED INTEGRATED MEDICAL LLC
Clinic/Center (Health Service)
1635 N 200 E
LOGAN, UT 84341
Cache County (435) 932-6138
PEAK HEALTH LLC
Clinic/Center
1635 N 200 E
NORTH LOGAN, UT 84341
Cache County (620) 397-3442
LIFETECH CONSULTING
Counselor (Professional)
1635 N 200 E
NORTH LOGAN, UT 84341
Cache County (435) 213-3687
STEVENS CHIROPRACTIC PC
Chiropractor
1635 N 200 E
NORTH LOGAN, UT 84341
Cache County (435) 755-7654

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 Medical Group's NPI number?

The NPI number for Living Tree Medical Group is 1639754583. It was assigned to this organization in the NPPES registry on March 12, 2021.

Where is Living Tree Medical Group located?

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

What is Living Tree Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Living Tree Medical Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Living Tree Medical Group accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Living Tree Medical Group 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 Medical Group 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 12 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.