Megan Elizabeth Dishman, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-316369 Issued in UT

Practice address

63 N 300 E # 202
Provo, UT 84606-3241

Phone

(801) 210-1969

NPI assigned

Dec 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1447067624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 S HEIRLOOM PL",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235249",
            "telephone_number": "513-706-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 N 300 E # 202",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063241",
            "telephone_number": "801-210-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHMAN",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "11777887-3102",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "UT",
            "license": "L-316369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Dills
• Austin Dimon, RBT
• Travis Lee Dimond, PA-C
• Valerie Jeanne Dimond
• Kayla Dinsdale
• Lisa Ditlev Aste, MD
• Leslie Divall
• Erin Berryessa Dixon, SSW
• Laura H Dixon, PHD
• Donna Dizon-Townson, MD

• Lactation Consultant (Registered Nurse) in Provo, UT
• Providers in Provo, UT by specialty
• Lactation Consultant (Registered Nurse) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.