Individual provider Active NPI

Eliza Lynn Peoples, LPN

  • Licensed Practical Nurse
  • Omaha, NE
National Provider Identifier
1700549573
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
17717 Issued in NE
Practice address
9030 Western Ave
Omaha, NE 68114-2265
Phone
(402) 390-2100
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 17717 NE Primary

Addresses

Primary practice location

9030 Western Ave
Omaha, NE 68114-2265

Mailing address

909 S 76TH St
Omaha, NE 68114-4519
Phone (402) 390-2100

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

LicenseStateTypeSpecialty
17717NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Community Schools Foundation Inc. CurrentSince Mar 11, 2025 Accepting new patients
Westside Community Schools CurrentSince Jan 26, 2022 Accepting new patients
Maxwell PastSince Oct 24, 2021 Accepting new patients

Locations

9030 Western Ave
Omaha, NE 68114
Phone (402) 390-6472

909 S 76th St
Omaha, NE 68114
Phone (402) 390-2100

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1700549573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S 76TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144519",
            "telephone_number": "402-390-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 WESTERN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142265",
            "telephone_number": "402-390-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "ELIZA",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "17717",
            "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 Oct 19, 2021; 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.