Janesa J Ryan, CNP - Monument Health Spearfish Clinic

Katy was born and raised in Mitchell, SD. She attended South Dakota State University for her undergraduate and graduate degrees - Go Jacks! Katy relocated to Spearfish in 2014. She spent time as a critical care nurse prior to joining the General Surgery team. Katy has two sons, Jackson and Kaden, and a black Laborador Retriever, Luna.

Kayla Hatten is a CNP in General Surgery at Spearfish Clinic. She received her Family Nurse Practitioner degree from Mount Marty University in Yankton, SD. Kayla had previously obtained an Exercise Science degree from Black Hills State University and then a Nursing degree from the University of South Dakota. Born and raised in the Black Hills, from a young age Kayla admired the work provided in the medical field and set a goal to pursue a career as a Nurse Practitioner. Initially working in Cardiopulmonary Rehabilitation, Kayla wanted to become more vested in the care and treatment of those that she had served in the community in which she was raised and was thrilled to have the opportunity to give back to those that helped mentor, support and develop her throughout the years. As part of a team, Kayla can now further deliver personalized support and care to each patient. In her spare time, Kayla enjoys being outdoors, watching her children in their extracurricular activities, cuddling with her dogs, spending time with friends and adventuring with her family. Kayla and her husband share three amazing sons and are incredibly thankful for the community in which the boys will be raised.

Kayla Hatten is a CNP in General Surgery at Spearfish Clinic. She received her Family Nurse Practitioner degree from Mount Marty University in Yankton, SD. Kayla had previously obtained an Exercise Science degree from Black Hills State University and then a Nursing degree from the University of South Dakota.Born and raised in the Black Hills, from a young age Kayla admired the work provided in the medical field and set a goal to pursue a career as a Nurse Practitioner. Initially working in Cardiopulmonary Rehabilitation, Kayla wanted to become more vested in the care and treatment of those that she had served in the community in which she was raised and was thrilled to have the opportunity to give back to those that helped mentor, support and develop her throughout the years. As part of a team, Kayla can now further deliver personalized support and care to each patient.In her spare time, Kayla enjoys being outdoors, watching her children in their extracurricular activities, cuddling with her dogs, spending time with friends and adventuring with her family. Kayla and her husband share three amazing sons and are incredibly thankful for the community in which the boys will be raised.