Active NPI
Elizabeth Vincent
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1063379022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 116467
- Practice address
- 15216 Nina St
Omaha, NE 68144-5402 - Phone
- (402) 470-1849
- NPI assigned
- Jan 9, 2026
- Last updated
- Jan 9, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 116467 | NE | Primary |
Addresses
Primary practice location
15216 Nina St
Omaha, NE 68144-5402
Mailing address
15216 Nina St
Omaha, NE 68144-5402
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116467 | NE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1063379022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15216 NINA ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15216 NINA ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445402",
"telephone_number": "402-470-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "116467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.