1. Home
  2. Directory
  3. Missouri
  4. Saint Joseph
  5. Internal Medicine
  6. NPI Profile

COVENANT OPTIMIZED LIVING LLC
NPI 1467728303
Internal Medicine in Saint Joseph, MO

Active since March 26, 2012
4910 FREDERICK AVE, SAINT JOSEPH, MO 64506(816) 233-3700(816) 233-3754 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Covenant Optimized Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT OPTIMIZED LIVING LLC (NPI 1467728303) is a healthcare organization registered as an internal medicine in Saint Joseph, Missouri and active in the NPI registry since March 2012. The organization lists Kari J Haywood, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1467728303
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOVENANT OPTIMIZED LIVING LLC
Location Address4910 FREDERICK AVESaint Joseph, MO 64506-3246
Mailing Address4910 Frederick AveSaint Joseph, MO 64506-3246 · (816) 233-3700 · Fax (816) 233-3754
Phone(816) 233-3700
Fax(816) 233-3754
Organization SubpartNo
Authorized OfficialKari J HaywoodBilling Manager · (816) 233-3700
Enumeration DateMarch 26, 2012
✔ NPI 1467728303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 112571
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4910 FREDERICK AVE, Saint Joseph, MO 64506
Open in Google Maps ↗

Other Identifiers 1

Medicare PINR517867MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Optimized Living LLC's NPI number?

The NPI number for Covenant Optimized Living LLC is 1467728303. It was assigned to this organization in the NPPES registry on March 26, 2012.

Where is Covenant Optimized Living LLC located?

Covenant Optimized Living LLC is located at 4910 Frederick Ave, Saint Joseph, MO 64506. The listed phone number is (816) 233-3700.

What is Covenant Optimized Living LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Covenant Optimized Living LLC was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.