Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allison Lynne Bonham

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295529253

Allison Lynne Bonham is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2024, 2 years ago. Practices with Ascendant Behavioral Health LLC, a 62-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2025
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Practice location Address checks out

50 W Broadway Ste 333
Salt Lake City, UT 84101-2027
Phone: (385) 329-7410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6691900-4405 (UT)

Record details

NPI number1295529253
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ascendant Behavioral Health Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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