ERINN KELSEY PEMBERTON MD NPI 1245974666

NPI Information

  • NPI: 1245974666
  • Provider Name: ERINN KELSEY PEMBERTON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1110 HGHLNDS PLZ DR E STE 220
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 273-0195

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NPI Details

Erinn Kelsey Pemberton, MD is a family medicine in Saint Louis, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Erinn Kelsey Pemberton, MD NPI is 1245974666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1110 HGHLNDS PLZ DR E STE 220
SAINT LOUIS, MO
ZIP 63110-351
Phone: (314) 273-0195
Fax: (314) 273-0190

The NPI 1245974666 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2022 and was last updated on 10/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2025035820MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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