Bonavista Family Medicine PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

BONAVISTA FAMILY MEDICINE PLLC

Practice address

778 E 700 S
Clearfield, UT 84015-1204

Phone

(385) 370-6716

NPI assigned

Oct 10, 2023

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Stephens, PA-CNPI 1831590769

Title

Owner

Phone

(801) 814-6263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFGCDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa A Stephens, PA-C

  • Physician Assistant
  • Clearfield, UT
  • NPI 1831590769
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1821879594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 E 700 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151204",
            "telephone_number": "385-370-6716",
            "fax_number": "866-493-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 E 700 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151204",
            "telephone_number": "385-370-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVISTA FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-814-6263",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim I Beus, FNP-C
• Jeffrey Brant Bezzant, OCCUPATIONAL THERAPI
• Johnny Blackmon
• Robin K. Bloomquist, RN
• Terrakay Bodily
• Jeffrey Bonham
• Kimberly A Brady, PTA
• Liena M Brady, APRN
• Brandon Brechbill
• Danelle Davila Brewer, RN ADN

• Physician Assistant in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.