Ivy St Louis SC LLC

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

Legal business name

IVY ST LOUIS SC LLC

Practice address

347 N Lindbergh Blvd
Creve Coeur, MO 63141-7811

Phone

(858) 925-5330

NPI assigned

Aug 12, 2026

Organization subpart

No

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

Authorized official

Name

Kevin Cirillo

Title

Chief Financial Officer

Phone

(858) 925-5330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1932024304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CENTRAL ST STE 79445",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N LINDBERGH BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417811",
            "telephone_number": "858-925-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY ST LOUIS SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "CIRILLO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-925-5330"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Hassan Irshad, MD
• Kaitlin Isbell
• Donald Edward Isselhard, DDS
• Michael Isserman, M.D.
• Ivy St Louis PC
• J Boatman LLC
• Vatel Arre Jackson
• Vicky Lynn Jackson, RN, NNP-BC
• Brenton Jamison
• David Henry Jansen, D.C.

• Ambulatory Fertility Facility in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Ambulatory Fertility Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.