Sage West Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SAGE WEST WELLNESS, LLC

Practice address

1621 Central Ave Ste 58388
Cheyenne, WY 82001-4531

Phone

(970) 316-8300

NPI assigned

Dec 29, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Knowles

Title

Chief Executive Officer

Phone

(970) 316-8300

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1326904988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 CENTRAL AVE STE 58388",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014531",
            "telephone_number": "970-316-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 CENTRAL AVE STE 58388",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014531",
            "telephone_number": "970-316-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE WEST WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-28",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "970-316-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.