Wasatch Functional Medicine
NPI 1396499414ActiveOrganization· Clinic/Center· South Ogden, UT
Clinic/Center in South Ogden, Utah, registered in NPPES in February 2022. The authorized official on file is Catherine Kelly Pierce, FNP-C, Owner/Nurse Practitioner.
Overview
| NPI | 1396499414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2022 |
| Last updated in NPPES | Feb 8, 2022 |
| Certified by provider | Feb 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in South Ogden
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