Marylou Mylant, PHD, RN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R025102 Issued in SD

Practice address

1011 11TH St
Rapid City, SD 57701-3530

Phone

(605) 394-6617

Fax

(605) 394-1250

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1700065208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13716 GHOST CANYON RD",
            "city": "HERMOSA",
            "state": "SD",
            "postal_code": "577445020",
            "telephone_number": "605-394-6617",
            "fax_number": "605-394-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 11TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013530",
            "telephone_number": "605-394-6617",
            "fax_number": "605-394-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLANT",
        "first_name": "MARYLOU",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "R025102",
            "primary": true
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "SD",
            "license": "R025102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575492",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole M Musfelt
• My Black Hills Sleep Health Prof LLC
• Brandy Myers
• Lonnie Nicole Myers, OTD
• Taylor Sheree Myers
• James F Nabwangu, MD
• Cheryl Ann Namtvedt, RPH
• Nancy Powers Psy D PC
• Heidi Nangle, BA, ACT
• Paulette Susan Nankivel, CNP

• Psychiatric/Mental Health Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.