Lead Practitioner

Sarah Piestrup, FNP, EAMP, IFMCP, Dipl OM
Nurse Practitioner, Acupuncturist, Herbalist @ Cascade Wellness
Tools to Inspire and Support Health
Sarah Piestrup, FNP, EAMP, IFMCP, Dipl OM
I am a passionate functional medicine practitioner who has full education and credentials in traditional Eastern and modern Western medicine.
I fully integrate the best of modern science and ancient wisdom to treat the root of the problem and find the most effective forms of true healing.
I decided at age 15 that the best way to heal the world was to heal people. I started my medical career at age 16 working as a Vet Tech and training in Swedish Esalen Massage. I moved on to become an RN in the year 2000, working in hospitals and emergency departments in California from Mammoth to San Francisco. Soon I knew that modern Western medicine was not enough.
I found the deepest strongest root and held on, graduating with a Masters in Traditional Chinese Medicine from Five Branches Institute in 2004. I immersed myself in the ancient wisdom and healing practice of acupuncture and herbal medicine for 9 years, but would find that modern science also played a role and I needed lab work and the ability to adjust medications to get to deep healing.
I found Functional Medicine in 2010 and attended my first AFMCP. I was hooked. This is how I could integrate and the process was well designed with deep scientific roots. I continued to run my acupuncture and herbal practice while I simultaneously attended classes for Functional Medicine Certification, Masters of Science in Nursing and Doctorate of Acupuncture and Oriental Medicine. It was intense but fully integrated and I found all the connections as I navigated focusing on each path as an integrated whole.
I graduated from a Family Nurse Practitioner program with my MSN and was board-certified as an FNP in 2013. I finished my Functional Medicine Certification in 2014 and I am still working on my doctoral dissertation for my DAOM program though classes are complete.
I now integrate Functional Medicine with Acupuncture and Herbal Medicine daily in my practice to find the best options for your healing.
Accreditations
Functional Medicine Practitioner
Eastern Medicine/Acupuncturist
Herbalist
Nurse Practitioner
Meet the Practitioners
A growing care team with one shared point of view.
Start with the practitioner whose training and tone feel like the closest fit. Each profile below is written to help new patients understand who leads a care path, who supports it, and how specialties can overlap as the clinic expands.
Practitioner One
Practitioner Focus
This practitioner supports patients who need nervous-system downshifting, recovery rhythm, and a more body-based layer of care alongside Sarah’s larger clinical strategy.
Best for: stress load, pain, sleep, recovery, regulation
Practitioner Two
Practitioner Focus
This practitioner works with patients who need hands-on support for alignment, mobility, physical recovery, and rebuilding confidence after long periods of structural stress.
Best for: mobility, rehab, posture, structural stress, rebuilds
Practitioner Three
Practitioner Focus
This practitioner is framed around practical food structure, energy support, gut recovery, and sustainable lifestyle changes that feel clear instead of overwhelming.
Best for: metabolism, nutrition resets, gut support, energy
Practitioner Four
Practitioner Focus
This practitioner helps patients who want a steady guide through consults, procedures, follow-up touchpoints, and the more practical side of staying engaged in care.
Best for: continuity, procedural prep, follow-up support
Practitioner Five
Practitioner Focus
This practitioner is positioned for patients whose symptoms are shaped by burnout, chronic overload, emotional depletion, or a nervous system that has been under pressure for too long.
Best for: burnout, overwhelm, resilience, regulation
Practitioner Six
Future specialty seat
Keep one card reserved for the next practitioner so the page already feels built for expansion. It makes the current roster feel intentional while leaving room for the next real profile.
Use this placeholder until the next bio, headshot, and booking path are ready.
Not sure who to book with?
Start with Sarah or send one message and let the team route you.
This final CTA works well if the live site still uses one main contact path before the full practitioner roster is finalized.