MARGARET HEFFERNAN BONIFACIO (NPI# 1487096376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487096376 |
| Entity Type | Organization |
| Organization Name | MARGARET HEFFERNAN BONIFACIO |
| Other Organization Name | BONIFACIO MENTAL HEALTH |
| Practice Address |
1758 Hillwood Dr Knoxville TN 37920-2600 |
| Mailing Address |
304 Gilbert Ln Knoxville TN 37920-3621 |
| Practice Telephone | 8653872904 |
| Mailing Telephone | 8653872904 |
| Mailing Fax Number | 8652462106 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | MARGARET H BONIFACIO (OWNER/PROVIDER) |
| Authorized Official Telephone | 8653872904 |
| Authorized Official Credential | MSN, PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APM0000017637 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Bonifacio Mental Health | Doing Business As Name - Organization |
| Street Address |
1758 HILLWOOD DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267333 | James T Gillespie Jr. | Psychiatry & Neurology | 1758 Hillwood Dr, Knoxville, TN 37920 | 2006-03-02 |
| 1972067742 | Margaret Wood | Occupational Therapy Assistant | 1758 Hillwood Dr, Knoxville, TN 37920-2600 | 2019-01-25 |
| 1275069882 | Amy S Olson | Nurse Practitioner | 1758 Hillwood Dr, Knoxville, TN 37920-2600 | 2017-05-03 |
| 1487053849 | James T. Gillespie, Jr. Md, PC | Psychiatry & Neurology | 1758 Hillwood Dr, Knoxville, TN 37920-2600 | 2014-08-21 |
| 1427019413 | Hillcrest Healthcare Communities, Inc | Nursing Facility/Intermediate Care Facility | 1758 Hillwood Dr, Knoxville, TN 37920-2600 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
| 1548678352 | Kristi Osborne | Nurse Practitioner | 2620 Mineral Springs Ave Ste A, Knoxville, TN 37917-1570 | 2014-07-24 |
| 1740422013 | Carol Preston | Nurse Practitioner | 314 Kennon Rd, Knoxville, TN 37909-3032 | 2009-04-01 |
| 1154523124 | Psychiatric Specialist, LLC | Nurse Practitioner | 8236 Glenrothes Blvd, Knoxville, TN 37909-2158 | 2007-06-01 |
| 1457412157 | Christina G Raman | Nurse Practitioner | 1111 N Northshore Dr Ste 490, Knoxville, TN 37919-4005 | 2006-12-13 |
| 1073609764 | Darneta G Brown | Nurse Practitioner | 2606 Greenway Drive, Suite 105, Knoxville, TN 37918 | 2006-10-04 |
| 1003925942 | Jill Powell | Nurse Practitioner | 3715 Sutherland Ave, Knoxville, TN 37919-4338 | 2006-08-30 |
| 1205804994 | Susan Goolsby | Nurse Practitioner | 116 Concord Rd Ste 100, Knoxville, TN 37934-2941 | 2006-03-09 |
| 1306824263 | Carol Kraemer Witherington | Nurse Practitioner | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2006-01-02 |
| 1942286521 | Psychiatric Concepts, LLC | Nurse Practitioner | 2620 Mineral Springs Ave, Suite A, Knoxville, TN 37917-1569 | 2005-12-15 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.