Sage Functional Medicine Center
Sage Functional Medicine Center is a healthcare organization registered as Primary Care Clinic/Center in Logan, UT, holding Type 2 (organization) NPI 1912368549 since 2016. The authorized official on file is Lisa Roberts, Owner/Operator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912368549 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sage Functional Medicine Center |
| Practice address | 55 E 100 N, SUITE 303, Logan, UT, 84321 |
| Phone | 4357607078 |
| Enumeration date | 2016-03-09 |
| Last updated in NPPES | 2016-03-09 |
Authorized official
| Name | Lisa Roberts |
|---|---|
| Title | Owner/Operator |
| Phone | 4357607078 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 8689112-4405 | UT |
Copy-ready billing details
Provider: Sage Functional Medicine Center NPI: 1912368549 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 55 E 100 N, SUITE 303, Logan, UT, 84321
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790903003 | David R Baker | Organization | Clinical Medical Laboratory | Logan, UT |
| 1235347071 | Katherine Ruggeri | Individual | Naturopath | Logan, UT |
| 1306082409 | Victor Nelson | Individual | Marriage & Family Therapist | Logan, UT |
| 1043652803 | Lisa Roberts | Individual | Family Nurse Practitioner | Logan, UT |
Verify this record
Cross-check NPI 1912368549 against the authoritative CMS record: view Sage Functional Medicine Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Sage Functional Medicine Center?
What is the NPI number for Sage Functional Medicine Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-03-09.