Active NPI
Eileen C Vautravers, MD
- Pediatrics Physician
- Lincoln, NE
National Provider Identifier
1003893058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12635
- Practice address
- 8201 Northwoods Dr
Lincoln, NE 68505-3092 - Phone
- (405) 465-5600
- Fax
- (402) 737-0852
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12635 | NE | Primary |
Addresses
Primary practice location
8201 Northwoods Dr
Lincoln, NE 68505-3092
Mailing address
7200 Old Post Rd
15
Lincoln, NE 68506-2944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47079049100 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12635 | NE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003893058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 OLD POST RD",
"address_2": "15",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 NORTHWOODS DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685053092",
"telephone_number": "405-465-5600",
"fax_number": "402-737-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUTRAVERS",
"first_name": "EILEEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "12635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47079049100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.