Our Team

Miriam S. Krause, MD, FACOG

Dr. Krause is a leading specialist in Obstetrics & Gynecology and Reproductive Endocrinology & Infertility. Along with Dr. Homm, she is board certified in both specialities, which makes her uniquely qualified to address a diverse spectrum of women’s health and fertility issues. Few other physicians hold this distinction.

Dr. Krause has dedicated her career to improving women’s healthcare and growing families through the most advanced diagnostic and treatment options available. She believes each patient is unique, and works to find a customized solution for every family. Her patients will attest that she goes above and beyond to ensure the very best outcomes.

Dr. Krause completed her residency in Obstetrics & Gynecology at Southern Illinois University in Springfield, IL, and her fellowship in Reproductive Endocrinology & Infertility at the University of Louisville School of Medicine. She is a highly regarded scholar on infertility, having presented her work at national and international conferences She is also a published author and editor on fertility topics, including surgical advances to treat infertility and uterine factors that affect a successful pregnancy.

Dr. Krause is an active member of the American Society of Reproductive Medicine, the Society for Reproductive Investigations and other local professional organizations. She is a past chair of the Kentucky chapter for the American College of Obstetricians and Gynecologists.

In addition to fertility, Dr. Krause has special expertise in treating polycystic ovarian syndrome, uterine defects, issues with menstruation and complications from menopause.
A native of Germany, Dr. Krause decided to make Louisville her second home after meeting her husband, Tony, here. During her free time, Dr. Krause enjoys hiking and spending time outdoors, traveling and cooking German dishes. In addition to cultivating families, she also is an accomplished gardener, growing her own vegetables in the summer.

Tiffany D. Justice, MD, FACOG

Dr. Tiffany Justice is board-certified in both Obstetrics and Gynecology and the subspecialty of Reproductive Endocrinology and Infertility. She is an experienced and highly qualified physician who is focused on providing a personalized team approach to helping her patients overcome the struggles of infertility. She knows she’s found the perfect place to fulfill her passion with the skilled team of fertility specialists and staff at Fertility and Endocrine Associates.

Dr. Justice received her medical degree from the University of Louisville School of Medicine. She completed a four-year obstetrics and gynecology residency as well as a three-year fellowship in reproductive endocrinology and infertility with the department of Obstetrics, Gynecology and Women’s Health at the University of Louisville. Dr. Justice is currently a member of the American Society of Reproductive Medicine, the American College of Obstetricians and Gynecologists, the American Association of Gynecologic Laparoscopists, and the Endocrine Society.

Dr. Justice has consistently been voted a Louisville “Top Doctor” by her peers in the Louisville medical community. She has received multiple awards for compassionate patient care as well as teaching throughout her career. She is honored to serve the residents of our area and help them to achieve their dreams.

Lauren Slone, APRN, WHNP/FNP            

As a highly qualified specialty Nurse Practitioner, Lauren works alongside Dr. Krause and Dr. Justice to provide world-class infertility care, helping patients across the region to conceive their family dreams.

She has dual master’s of science nursing degrees in women’s health and family practice, along with 14 years of experience providing women’s healthcare, primary healthcare and pediatric nursing care to underserved areas of Louisville and surrounding counties. She previously served as Fertility and Endocrine Associates’ Third-Party Reproduction Coordinator (oocyte donation, embryo donation and gestational carrier selection) from 2014 until 2020.

Lauren also has personal experience with infertility — she has premature ovarian and failure and underdeveloped uterus as a result of cancer treatments when she was a child. She and her husband have a beautiful son thanks to an egg donor and a gestational carrier. Her personal fertility journey gives her a deep well of compassion for patients who are facing what is often an emotional and challenging time.

Lauren holds her Infertility Nursing Certification through American Society for Reproductive Medicine. She is a member of the American Academy of Infertility Nursing, the American Academy of Nurse Practitioners, the Kentucky Coalition of Nurse Practitioners and CNMs, the National Association of Nurse Practitioners in Women’s Health and the International Society for the Study of Women’s Sexual Health.

Our Founders

A leading specialist in women’s health for more than 30 years, Robert Homm, M.D., was instrumental in bringing advanced fertility services to the Louisville region. He founded Fertility and Endocrine Associates as Women’s Specialty Center in 1991, and today we are the oldest private infertility practice and in vitro fertilization center in Kentucky. We were also one of the first physicians’ practices to be part of the Norton Women’s Pavilion, located on the campus of Norton Women’s and Children’s Hospital.

An expert in the field of Reproductive Endocrinology & Infertility, nurse practitioner Kit Devine, DNP, APRN, joined Dr. Homm at Fertility and Endocrine Associates in 2002 and worked alongside him for nearly 20 years.

Dr. Homm and Dr. Devine helped hundreds of families conceive their family dreams over their many years of practice, and we still hear from many of their grateful patients today. In fact, some of the babies they helped bring into the world are all grown up and starting their own families!

We owe much of our practice’s success to these groundbreaking specialists, and we wish them well in retirement.