Liaison Health Group, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIAISON HEALTH GROUP, LLC

Practice address

9628 Midland Blvd
Overland, MO 63114-3357

Phone

(314) 779-6022

NPI assigned

Nov 6, 2021

Last updated

Jan 13, 2023By 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

Wogene AmsaluNPI 1184091431

Title

Nurse Practitioner

Phone

(314) 779-6022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25705/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wogene Amsalu

  • Primary Care Nurse Practitioner
  • Overland, MO
  • NPI 1184091431
  Medicare reassignment NPD Authorized official
• Getahun Abate, M.D.

  • Infectious Disease Physician
  • Saint Louis, MO
  • NPI 1881885044
  NPD (past)

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1033874888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 MIDLAND BLVD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631143357",
            "telephone_number": "314-779-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 MIDLAND BLVD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631143357",
            "telephone_number": "314-779-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIAISON HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-06",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "AMSALU",
        "authorized_official_first_name": "WOGENE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "314-779-6022"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "2018001284",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Kiehn
• Amy Koehler, RBT
• Gregory Kraner, DDS
• Dorah Adel Langford, DR
• Illona Lynn Lewis
• Life Skills Foundation
• Todd P. Lindley, DDS
• Joseph Lopiparo, D.C.
• Love Smiling Faces Adult Day Care, LLC
• Elizabeth Lovstad

• Clinic/Center in Overland, MO
• Providers in Overland, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.