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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADRIENNE LIGHTBOURNE MD
NPI 1407221740
Pediatrics - Pediatric Cardiology in Pembroke Pines, FL

Active since December 12, 2015PECOS Enrolled
12295 TAFT ST, PEMBROKE PINES, FL 33026(954) 447-7774 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2026, Aug 5, 2022, Dec 12, 2015 (3 updates tracked since 2015).

About Adrienne Lightbourne Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADRIENNE LIGHTBOURNE MD (NPI 1407221740) is an individual pediatric cardiology provider in Pembroke Pines, Florida, licensed in Florida (ME181858) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hollywood.

NPPES Registry Identity

NPI1407221740
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameADRIENNE LIGHTBOURNECredential: MD
Location Address12295 TAFT STPembroke Pines, FL 33026-1900
Mailing Address12295 Taft StPembroke Pines, FL 33026-1900 · (954) 447-7774
Phone(954) 447-7774
Sole ProprietorYes
Enumeration DateDecember 12, 2015
Last NPPES UpdateOctober 2, 20263 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1407221740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in FL · ME181858
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
12295 TAFT ST, Pembroke Pines, FL 33026
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Secondary Practice Location 1

Location 13801 Hollywood Blvd Ste 350Hollywood, FL 33021-6762 · Phone (954) 876-9535

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adrienne Lightbourne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXIMO RAUL AGUIRRE MD
Pediatrics (Pediatric Cardiology)
12295 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (954) 447-7774
JULISSA JIMENEZ ESCORCIA ARNP
Nurse Practitioner (Family)
12295 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (954) 447-7771
KATELYN SNYDER MD
Pediatrics (Pediatric Cardiology)
12295 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (954) 276-9535
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
Pediatrics (Pediatric Cardiology)
12295 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (954) 447-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adrienne Lightbourne's NPI number?

The NPI number for Adrienne Lightbourne is 1407221740. It was assigned to this individual provider in the NPPES registry on December 12, 2015.

Where is Adrienne Lightbourne located?

Adrienne Lightbourne practices at 12295 Taft St, Pembroke Pines, FL 33026. The listed phone number is (954) 447-7774.

What is Adrienne Lightbourne's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Adrienne Lightbourne enrolled in Medicare?

Yes. Adrienne Lightbourne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adrienne Lightbourne was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.