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SAGE FUNCTIONAL MEDICINE CENTER
NPI 1912368549
Clinic/Center - Primary Care in Logan, UT

Active since March 09, 2016
55 E 100 N, SUITE 303, LOGAN, UT 84321(435) 760-7078 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sage Functional Medicine Center NPPES

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

SAGE FUNCTIONAL MEDICINE CENTER (NPI 1912368549) is a healthcare organization registered as a primary care in Logan, Utah and active in the NPI registry since March 2016. The organization lists Lisa Shea Roberts, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1912368549
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAGE FUNCTIONAL MEDICINE CENTER
Location Address55 E 100 N, SUITE 303Logan, UT 84321-4661
Mailing Address55 E 100 N, Suite 303Logan, UT 84321-4661 · (435) 760-7078
Phone(435) 760-7078
Organization SubpartNo
Authorized OfficialLisa Shea RobertsOwner/operator · (435) 760-7078
Enumeration DateMarch 9, 2016
✔ NPI 1912368549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in UT · 8689112-4405
55 E 100 N, Logan, UT 84321
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Other Providers at the Same Location NPPES 4

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

LISA SHEA ROBERTS F.N.P.
Nurse Practitioner (Family)
55 E 100 N, SUITE 303
LOGAN, UT 84321
Cache County (435) 760-7078
KATHERINE RUGGERI N.D.
Naturopath
55 E 100 N, SUITE 301
LOGAN, UT 84321
Cache County (435) 755-9413
VICTOR HERMAN NELSON LMFT
Marriage & Family Therapist
55 E 100 N, SUITE 204
LOGAN, UT 84321
Cache County (435) 994-0024
DAVID R BAKER
Clinical Medical Laboratory
55 E 100 N, SUITE 305
LOGAN, UT 84321
Cache County (435) 512-8151

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 Sage Functional Medicine Center's NPI number?

The NPI number for Sage Functional Medicine Center is 1912368549. It was assigned to this organization in the NPPES registry on March 9, 2016.

Where is Sage Functional Medicine Center located?

Sage Functional Medicine Center is located at 55 E 100 N Suite 303, Logan, UT 84321. The listed phone number is (435) 760-7078.

What is Sage Functional Medicine Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Sage Functional Medicine Center was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.