DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. MEGAN LEIGH DISSE PMHNP-BC, CNP

MEDICARE: MS. MEGAN LEIGH DISSE PMHNP-BC, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerCP003456SD
2163W00000XRegistered NurseR055739SD

General Provider Information

NPI Number : 1083865612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN LEIGH DISSE PMHNP-BC, CNP
Provider Business Mailing Address
First Line : 520 KANSAS CITY ST STE 102
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-2766
Country : US
Telephone Number : 605-716-3609
Fax Number : 605-716-3707
Provider Business Practice Location Address
First Line : 520 KANSAS CITY ST STE 102
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-2766
Country : US
Telephone Number : 605-716-3609
Fax Number : 605-716-3707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 03/18/2026

Similar Medicare Providers

1760729313 — CONNIE TSCHETTER
Practice Location Address:
520 KANSAS CITY ST STE 102
RAPID CITY, SD
57701-2766
Practice Phone: 605-716-3609
Practice Fax: 605-716-3707
1669848925 — LAURA SCHIRBER
Practice Location Address:
520 KANSAS CITY ST STE 102
RAPID CITY, SD
57701-2766
Practice Phone: 605-716-3609
Practice Fax: 605-716-3707
1285358598 — OPTIMUM MENTAL HEALTHCARE PROFESSIONALS, PLLC
Practice Location Address:
520 KANSAS CITY ST STE 102
RAPID CITY, SD
57701-2766
Practice Phone: 605-716-3609
Practice Fax: 605-716-3707
1700398492 — LESLIE S. MOSS CNP
Practice Location Address:
520 KANSAS CITY ST STE 102
RAPID CITY, SD
57701-2766
Practice Phone: 605-716-3609
Practice Fax: 605-716-3707
1548254360 — CYNTHIA LEE CARMACK MD
Practice Location Address:
495 E 4500 S , SUITE 200
SALT LAKE CITY, UT
84107-2766
Practice Phone: 801-595-8844
Practice Fax: 801-506-0188
1073574711 — MS. SALLEE LYNNE ROBINSON LCSW
Practice Location Address:
2766 E 3300 S
SALT LAKE CITY, UT
84109-2819
Practice Phone: 801-467-5437
Practice Fax:

Directions to “ MS. MEGAN LEIGH DISSE PMHNP-BC, CNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.