Active NPI
Elizabeth Kay Dolfie, APN BC
- Psychiatric/Mental Health Nurse Practitioner
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN7590
- Practice address
- 1801 Hickman Rd
Des Moines, IA 50314-1597 - Phone
- (515) 282-2200
- Fax
- (515) 282-3589
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 22, 2018
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN7590 | TN | Primary |
Addresses
Primary practice location
1801 Hickman Rd
Des Moines, IA 50314-1597
Mailing address
330 Carriage Dr
Crossville, TN 38555-5866
Phone (931) 787-8248
Other practice location 1
1921 Ransom Pl
Nashville, TN 37217-3841
Phone (615) 463-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3631320 | Medicaid | TN | |
| 4050355 | Other | TN | BCBS |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN7590 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Enterprises, Inc. | Current | Accepting new patients | |
| Life Management of NW FL, Inc. | Past | Accepting new patients | |
| Life Management of NW FL, Inc. | Past | Accepting new patients | |
| Life Management Center of Northwest Florida Inc | Past | Accepting new patients |
Locations
42 Dooley St
Crossville, TN 38555
Phone (931) 707-7117
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Walk In Clinic
- Family Nurse Practitioner
- Crossville, TN
- NPI 1932139946
-
- Psychiatry Physician
- Blountstown, FL
- NPI 1659301877
-
dba Life Management Center of Northwest Florida Inc
- Psychiatry Physician
- Marianna, FL
- NPI 1255367579
-
- Psychiatry Physician
- Port St Joe, FL
- NPI 1316977515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545436800000",
"number": "1578582730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CARRIAGE DR",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385555866",
"telephone_number": "931-787-8248",
"fax_number": "931-787-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 HICKMAN RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503141597",
"telephone_number": "515-282-2200",
"fax_number": "515-282-3589"
}
],
"practiceLocations": [
{
"address_1": "1921 Ransom Pl",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372173841",
"country_code": "US",
"telephone_number": "615-463-6600",
"fax_number": "615-463-6602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLFIE",
"first_name": "ELIZABETH",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "APN BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2018-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN7590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3631320",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4050355",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.