Individual provider Active NPI

Bonnie Lenyard, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1053726794
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
TAP5663 Issued in AZ
Practice address
8433 N Black Canyon Hwy Ste 100-18
Phoenix, AZ 85021-4873
Phone
(602) 228-0045
Fax
(602) 560-8336
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TAP5663 AZ
Family Nurse Practitioner 363LF0000X TAP5663 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TAP5663 AZ Primary

Addresses

Primary practice location

8433 N Black Canyon Hwy Ste 100-18
Phoenix, AZ 85021-4873

Mailing address

8433 N Black Canyon Hwy Ste 100-18
Phoenix, AZ 85021-4873
Phone (602) 228-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141230000884 AZ Practitioner - Nurse Practitioner 5092038901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TAP5663AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Numinus Wellness Ut Inc Psychiatry CurrentSince Jan 10, 2023 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

16155 N 83rd Ave
Ste 211
Peoria, AZ 85382
Phone (602) 399-5792

2400 W Dunlap Ave
Ste 124
Phoenix, AZ 85021
Phone (503) 766-3161

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1053726794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 N BLACK CANYON HWY STE 100-18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214873",
            "telephone_number": "602-228-0045",
            "fax_number": "602-560-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 N BLACK CANYON HWY STE 100-18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214873",
            "telephone_number": "602-228-0045",
            "fax_number": "602-560-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENYARD",
        "first_name": "BONNIE",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "TAP5663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP5663",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "TAP5663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.