Prodigal Family Healthcare

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1506 Issued in TN

Legal business name

PRODIGAL FAMILY HEALTHCARE

Practice address

2911 Essary Dr
Knoxville, TN 37918-2468

Phone

(865) 288-3754

Fax

(865) 394-6719

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Sylvia Hofstetter

Title

President

Phone

(865) 288-3754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1982021069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ESSARY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182468",
            "telephone_number": "865-288-3754",
            "fax_number": "865-394-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ESSARY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182468",
            "telephone_number": "865-288-3754",
            "fax_number": "865-394-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGAL FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "HOFSTETTER",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-288-3754"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Proctor, LPC-MHSP
• Patricia Lynn Proctor, M.ED., LPC-MHSP
• Ramona Phillips Proctor
• Riann Joan-Garbett Proctor, LCSW
• Sarah Proctor, LMFT
• Prodigal Primary Care
• Prodigal Primary Care PC
• Prodigal Primary Care PC
• Prodigal Primary Care PC
• Prodigy Mobile Lab & Nursing Concierge

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.