Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kelly Eilis Lavin, FNP

Individual provider Family Nurse Practitioner · NPI 1174204044

MS. Kelly Eilis Lavin, FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

620 S Taylor Ave Div Im Infectious Disease Ste 100
Saint Louis, MO 63110-1035
Phone: (314) 747-1206
Fax: (314) 222-6252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022045232 (MO)

Record details

NPI number1174204044
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESApril 17, 2025
Certification dateApril 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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