Margaret Heffernan Bonifacio

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APM0000017637 Issued in TN

Legal business name

MARGARET HEFFERNAN BONIFACIO

Practice address

307 N 5TH St
Maryville, TN 37804-2921

Phone

(865) 246-2104

Fax

(865) 246-2106

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Margaret H BonifacioNPI 1194163931

Title

Owner/Provider

Phone

(865) 387-2904

Specialties & licenses 1

Addresses

Other names 1

• Bonifacio Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret H Bonifacio, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
  • NPI 1194163931
  Medicare reassignment NPD Authorized official
• Stephanie L Carmichael, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
  • NPI 1538463310
  Medicare reassignment NPD
• Angela Dawn Williams, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
  • NPI 1023537248
  Medicare reassignment NPD
• Kristina Lynn Huckeba, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
  • NPI 1780202028
  NPD

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1487096376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5777",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378025777",
            "telephone_number": "865-246-2104",
            "fax_number": "865-246-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N 5TH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378042921",
            "telephone_number": "865-246-2104",
            "fax_number": "865-246-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET HEFFERNAN BONIFACIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "BONIFACIO",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "865-387-2904"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APM0000017637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonifacio Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Maples, RN, BSN
• Calvert Seguinal Marasigan, P.T.
• Nina Marasigan, P.T.
• Megan Michellie Marcus, LCSW
• Leslie Mardis
• Maribeth Salinas
• Mark D Evans DDS
• David Clair Marsh, CFNP
• Joseph Scott Marsh, D.C.
• Marilyn H Marshall, M.A., CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Maryville, TN
• Providers in Maryville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.