Healthcare Provider Details

I. General information

NPI: 1780511501
Provider Name (Legal Business Name): CIRCLE AND SAGE FUNCTIONAL MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N 9TH ST STE 36
GRAND JUNCTION CO
81501-3153
US

IV. Provider business mailing address

1000 N 9TH ST STE 36
GRAND JUNCTION CO
81501-3153
US

V. Phone/Fax

Practice location:
  • Phone: 970-436-3940
  • Fax: 970-436-3941
Mailing address:
  • Phone: 970-436-3940
  • Fax: 970-436-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELEANOR MARIE DAVIS
Title or Position: OWNER
Credential: APRN
Phone: 970-436-3940