Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Sage Medical LLC

Organization Primary Care Nurse Practitioner · NPI 1487016226

Blue Sage Medical LLC is a Primary Care Nurse Practitioner in Park City, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6300 Sagewood Dr Ste H-532
Park City, UT 84098-7502
Phone: (801) 718-7280
Fax: (888) 853-5162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 123071-4405 (UT)

Record details

NPI number1487016226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Coccimiglio — Agpcnp · (801) 718-7280
NPI enumeratedMarch 22, 2016
Last updated in NPPESAugust 29, 2017
Mailing address6300 Sagewood Dr, Suite H-532, Park City, UT 84098-7502

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