Allison Lynne Bonham

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

6691900-4405 Issued in UT

Practice address

50 W Broadway Ste 333
Salt Lake City, UT 84101-2027

Phone

(385) 329-7410

NPI assigned

Apr 7, 2025

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascendant Behavioral Health LLC 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (3 of 4)

Locations

Networks

• UT PPO

Interoperability endpoints

• Direct secure messaging: lifestancehealth.allisonbonham@154909.advancedmd-direct.com

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.

• Ascendant Behavioral Health LLC

  • Clinical Social Worker
  • Murray, UT
  • NPI 1689128605

  UT

  Medicare reassignment Care Compare group NPD
• Neurvana Psychiatry & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Jordan, UT
  • NPI 1457216335
  NPD Authorized official
• Neurvana Psychiatry & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Jordan, UT
  • NPI 1861358756
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1295529253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY STE 333",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012027",
            "telephone_number": "385-329-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY STE 333",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012027",
            "telephone_number": "385-329-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "ALLISON",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "6691900-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan David Bone, PSYD
• Kathleen Marie Bonebrake, MD
• Barrett Bonella, LCSW
• Jodi Bonella
• Caroline Bonfiglio
• Michail Bonios, MD/PHD
• Joshua Leitch Bonkowsky, MD, PHD
• John Limb Bonner, L.C.S.W.
• Regena Bonner, LCSW
• Shiann Bontrager, PT, DPT

• All providers in Salt Lake City, UT
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.