Ramona Phillips Proctor

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

093040 Issued in TN

Practice address

5709 Tell Mynatt Rd
Knoxville, TN 37938-2628

Phone

(865) 206-0772

NPI assigned

Jan 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1548859127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 TELL MYNATT RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379382628",
            "telephone_number": "865-206-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 TELL MYNATT RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379382628",
            "telephone_number": "865-206-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "RAMONA",
        "middle_name": "PHILLIPS",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "093040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ramona.proctor@pharmerica.com",
            "affiliation": "N",
            "address_1": "5709 Tell Mynatt Rd",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379382628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christian Patrick Probst, M.D.
• Joseph Procopio, PT
• Mary Evelyn Procopio, DPT
• Michelle Proctor, LPC-MHSP
• Patricia Lynn Proctor, M.ED., LPC-MHSP
• Riann Joan-Garbett Proctor, LCSW
• Sarah Proctor, LMFT
• Prodigal Family Healthcare
• Prodigal Primary Care
• Prodigal Primary Care PC

• Registered Nurse in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.