DOLPHIN HILLS FAMILY HEALTHCARE
NPI 1114596095
Nurse Practitioner - Family in Elizabethtown, KY

Active since June 23, 2021CLIA 18D2228950 · Waiver
410 N MULBERRY ST, ELIZABETHTOWN, KY 42701(270) 268-5036 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2021, Jun 23, 2021 (2 updates tracked since 2021).

About Dolphin Hills Family Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOLPHIN HILLS FAMILY HEALTHCARE (NPI 1114596095) is a healthcare organization registered as a family in Elizabethtown, Kentucky and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 2, 2027, maintains a secondary practice location in Elizabethtown, and lists Melissa Anne Baumgardner, Owner, as its authorized official.

NPPES Registry Identity

NPI1114596095
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDOLPHIN HILLS FAMILY HEALTHCARE
Location Address410 N MULBERRY STElizabethtown, KY 42701-1848
Mailing Address189 S Antelope CtRineyville, KY 40162-9696 · (270) 268-5036
Organization SubpartNo
Authorized OfficialMelissa Anne BaumgardnerOwner · (270) 268-5036
Enumeration DateJune 23, 2021
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
NPI 1114596095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
410 N MULBERRY ST, Elizabethtown, KY 42701

Secondary Practice Location 1

Location 13046 Dolphin Dr Ste 101Elizabethtown, KY 42701-7114 · Phone (270) 268-5036 ext. 85036 · Fax (833) 992-2250

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2228950

Dolphin Hills Family Healthcare · Elizabethtown, KY
Active · expires Jul 2, 2027
CLIA Number18D2228950
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorMs. Melissa Baumgardner
Laboratory Phone(270) 268-5036
Laboratory LocationDolphin Hills Family Healthcare410 N Mulberry St, Elizabethtown, KY 42701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
410 N MULBERRY ST
ELIZABETHTOWN, KY 42701
In Home Supportive Care
410 N MULBERRY ST
ELIZABETHTOWN, KY 42701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dolphin Hills Family Healthcare's NPI number?

The NPI number for Dolphin Hills Family Healthcare is 1114596095. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Dolphin Hills Family Healthcare located?

Dolphin Hills Family Healthcare is located at 410 N Mulberry St, Elizabethtown, KY 42701. The listed phone number is (270) 268-5036.

What is Dolphin Hills Family Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Dolphin Hills Family Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2228950) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dolphin Hills Family Healthcare was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.