| Leslie Brooke Caughron, APRN | |
|
1707 Cedar Grove Rd Ste 20, Shepherdsville, KY 40165-8592 | |
| (502) 215-5090 | |
| (502) 215-5095 |
| Full Name | Leslie Brooke Caughron |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1707 Cedar Grove Rd Ste 20, Shepherdsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972768422 | NPI | - | NPPES |
| 7100048270 | Medicaid | KY | |
| 50027774 | Other | KY | PASSPORT HEALTH PLAN |
| 200922430 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3005509 (Kentucky) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 3005509 (Kentucky) | Primary |
| Entity Name | University Of Kentucky |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Entity Name | Norton Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Brooke Caughron, APRN Po Box 909, Louisville, KY 40201-0909 Ph: (502) 629-6000 | Leslie Brooke Caughron, APRN 1707 Cedar Grove Rd Ste 20, Shepherdsville, KY 40165-8592 Ph: (502) 215-5090 |
Kaelin Jansen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 Overhill Dr, Business Office, Shepherdsville, KY 40165 Phone: 502-543-9124 Fax: 502-543-0844 | |
Stephanie Leigh Houin, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Joe B Hall Ave, Shepherdsville, KY 40165 Phone: 502-955-6447 | |
Kelsey Danielle Pehlke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1707 Cedar Grove Rd Ste 10, Shepherdsville, KY 40165 Phone: 502-543-3246 | |
Ms. Maressa Coley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6302 Highway 44 E, Shepherdsville, KY 40165 Phone: 502-572-9019 | |
Mrs. Carla Brewer, DNP, MSN-APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Business Office, 802 Overhill Dr, Shepherdsville, KY 40165 Phone: 502-543-9124 Fax: 502-543-0844 | |
Michelle Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Business Office: 802 Overhill Dr, Shepherdsville, KY 40165 Phone: 502-543-9124 Fax: 502-543-0844 | |
Amber Jane Allen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Cedar Place Dr, Shepherdsville, KY 40165 Phone: 502-649-2571 |