Individual provider Active NPI

Vicki Lee Clements

  • Respite Care
  • Omaha, NE
National Provider Identifier
1063390615
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Practice address
11421 Nancy Cir
Omaha, NE 68137-3690
Phone
(402) 598-0717
NPI assigned
Aug 22, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NU Primary

Addresses

Primary practice location

11421 Nancy Cir
Omaha, NE 68137-3690

Mailing address

11006 R PLZ Apt 4
Omaha, NE 68137-3637
Phone (402) 598-0717

Other practice location 1

5366 F St
Omaha, NE 68117-2804
Phone (402) 598-0717

Other practice location 2

11006 R Plz Apt 4
Omaha, NE 68137-3637
Phone (402) 598-0717

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

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1063390615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11006 R PLZ APT 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373637",
            "telephone_number": "402-598-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11421 NANCY CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373690",
            "telephone_number": "402-598-0717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5366 F St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681172804",
            "country_code": "US",
            "telephone_number": "402-598-0717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11006 R Plz Apt 4",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681373637",
            "country_code": "US",
            "telephone_number": "402-598-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "VICKI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.