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MARGARET HEFFERNAN BONIFACIO
NPI 1487096376
Nurse Practitioner - Psychiatric/Mental Health in Maryville, TN

Active since July 22, 2013
307 N 5TH ST, MARYVILLE, TN 37804(865) 246-2104(865) 246-2106 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Mar 10, 2026, Apr 12, 2019 (3 updates tracked since 2019).

About Margaret Heffernan Bonifacio NPPES

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

MARGARET HEFFERNAN BONIFACIO (NPI 1487096376), doing business as Bonifacio Mental Health, is a healthcare organization registered as a psychiatric/mental health in Maryville, Tennessee and active in the NPI registry since July 2013. The organization lists Margaret H Bonifacio, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1487096376
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMARGARET HEFFERNAN BONIFACIO
Location Address307 N 5TH STMaryville, TN 37804-2921
Mailing AddressPo Box 5777Maryville, TN 37802-5777 · (865) 246-2104 · Fax (865) 246-2106
Phone(865) 246-2104
Fax(865) 246-2106
Organization SubpartNo
Authorized OfficialMargaret H BonifacioOwner/provider · (865) 387-2904
Enumeration DateJuly 22, 2013
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1487096376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · APM0000017637
307 N 5TH ST, Maryville, TN 37804
Open in Google Maps ↗

Other Names 1

Doing Business AsBonifacio Mental Health

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

Other Providers at the Same Location NPPES 9

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

MR. JAROSLAW ZABEK PT
Physical Therapist
307 N 5TH ST
MARYVILLE, TN 37804
Blount County (865) 983-0261
AMANDA JEAN BIVENS OTR/L
Occupational Therapist
307 N 5TH ST
MARYVILLE, TN 37804
Blount County (865) 983-0261
KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Skilled Nursing Facility
307 N 5TH ST
MARYVILLE, TN 37804
Blount County (865) 983-0261
DR. JONATHAN MICHAEL ANGOTTI M.D.
Internal Medicine (Pulmonary Disease)
307 N 5TH ST
MARYVILLE, TN 37804
Blount County (872) 231-3162
MARYVILLE FAIRPARK OPCO LLC
Skilled Nursing Facility
307 N 5TH ST
MARYVILLE, TN 37804
Blount County (865) 983-0261
MR. KEVIN WALL LPTA
Physical Therapy Assistant
307 N 5TH ST
MARYVILLE, TN 37804
Blount County (865) 983-0261
MELISSA ANN KEANE PTA
Physical Therapy Assistant
307 N 5TH ST
MARYVILLE, TN 37804
Blount County (865) 983-0261
MRS. TRICIA SHUDAN JENKINS COTA/L
Occupational Therapy Assistant
307 N 5TH ST
MARYVILLE, TN 37804
Blount County (865) 983-0261

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 Margaret Heffernan Bonifacio's NPI number?

The NPI number for Margaret Heffernan Bonifacio is 1487096376. It was assigned to this organization in the NPPES registry on July 22, 2013. The provider is doing business as Bonifacio Mental Health.

Where is Margaret Heffernan Bonifacio located?

Margaret Heffernan Bonifacio is located at 307 N 5th St, Maryville, TN 37804. The listed phone number is (865) 246-2104.

What is Margaret Heffernan Bonifacio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Margaret Heffernan Bonifacio was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.