LESLIE BROOKE CAUGHRON APRN NPI 1972768422

NPI Information

  • NPI: 1972768422
  • Provider Name: LESLIE BROOKE CAUGHRON, APRN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1707 CEDAR GROVE RD STE 20
    SHEPHERDSVILLE, KY
    ZIP 40165
  • Phone: (502) 215-5090

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NPI Details

Leslie Brooke Caughron, APRN is a pediatrics nurse practitioner in Shepherdsville, KY. Leslie Brooke Caughron, APRN NPI is 1972768422. 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:

1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY
ZIP 40165-592
Phone: (502) 215-5090
Fax: (502) 215-5095

The NPI 1972768422 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 7/24/2008 and was last updated on 4/6/2022.

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
1363LF0000XNurse PractitionerFamily3005509KENTUCKYNo
2363LP0200XNurse PractitionerPediatrics3005509KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100048270MEDICAIDKENTUCKY
250027774OTHERKENTUCKYPASSPORT HEALTH PLAN
3200922430MEDICAIDINDIANA

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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