Active NPI
Adrienne Lightbourne, MD
- Pediatric Cardiology Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME181858
- Practice address
- 12295 Taft St
Pembroke Pines, FL 33026-1900 - Phone
- (954) 447-7774
- NPI assigned
- Dec 12, 2015
- Last updated
- Oct 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | ME181858 | FL | Primary |
Addresses
Primary practice location
12295 Taft St
Pembroke Pines, FL 33026-1900
Mailing address
12295 Taft St
Pembroke Pines, FL 33026-1900
Phone (954) 447-7774
Other practice location 1
3801 Hollywood Blvd Ste 350
Hollywood, FL 33021-6762
Phone (954) 876-9535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A177293 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Pediatrics Associates | Pediatrics | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
Locations
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
Interoperability endpoints
- alightbourne107061@direct-ucsfmedicalcenter.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Medical Center
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1407221740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12295 TAFT ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330261900",
"telephone_number": "954-447-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12295 TAFT ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330261900",
"telephone_number": "954-447-7774"
}
],
"practiceLocations": [
{
"address_1": "3801 Hollywood Blvd Ste 350",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330216762",
"country_code": "US",
"telephone_number": "954-876-9535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGHTBOURNE",
"first_name": "ADRIENNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-12",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME181858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.