Covenant Integrative Wellness, LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

2011000683 Issued in MO

Legal business name

COVENANT INTEGRATIVE WELLNESS, LLC

Practice address

1022 Northeast Dr
Suite B
Jefferson City, MO 65109-2513

Phone

(816) 898-6939

NPI assigned

Jan 2, 2017

Last updated

Jan 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sonia O'Donnell McGowin, DC

Title

Owner/Physician

Phone

(816) 898-6939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483315200000",
    "number": "1427593375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 NORTHEAST DR",
            "address_2": "SUITE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092513",
            "telephone_number": "816-898-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 NORTHEAST DR",
            "address_2": "SUITE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092513",
            "telephone_number": "816-898-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A",
        "authorized_official_last_name": "MCGOWIN",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "O'DONNELL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "816-898-6939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "2011000683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Silverio Costa, MD
• Elizabeth Christine Costello, COTA
• Erin Couch, LMSW
• County of Cole (Cole County Emergency Medical Services)
• County of Cole (Cole County Health Department)
• Covenant Pediatrics, LLC
• Tonya Cowan
• Drew Michael Cox, DO
• Jennifer Cox
• Sarah Elizabeth Cox, APRN, FNP-C

• Nutrition Chiropractor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Nutrition Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.