Leslie Nicole Vaughan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

236296 Issued in AR

Practice address

430 Magnolia Rd
Camden, AR 71701-4146

Phone

(870) 836-5709

Fax

(870) 836-5837

NPI assigned

Mar 2, 2026

Last updated

Mar 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnathan Lewis MD PLLCGroup PAC ID 2668891763, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnathan Lewis MD PLLC

  dba The Lewis Clinic

  • Family Medicine Physician
  • Camden, AR
  • NPI 1265047187
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1225983604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MAGNOLIA RD",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014146",
            "telephone_number": "870-836-5709",
            "fax_number": "870-836-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAGNOLIA RD",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014146",
            "telephone_number": "870-836-5709",
            "fax_number": "870-836-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "LESLIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "236296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cimenga M Tshibaka, M.D.
• Elizabeth L Tuberville
• Macy Turner, COTA
• Twin Rivers Respiratory Care, Inc. (Ouachita Valley Respiratory Care)
• Hillary Osita Udeh, MD
• Steven W Vaughan, LCSW
• Walgreen Co (Walgreens #15702)
• Walmart Inc. (Walmart Pharmacy 10-0171)
• Wellness Clinic and Healthcare Consulting, PLLC
• Cynthia Jean West, PTA

• Family Nurse Practitioner in Camden, AR
• Providers in Camden, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.