Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1134324445
Avera Mckennan
Organization Subpart: NO
Active
NPI Number1134324445
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1134324445
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-06-18
Last Updated2012-05-10
Authorized OfficialJulie Norton
Sr Vice President of Finance
Phone: 6053226375
Mailing AddressPo Box 86430
Sioux Falls, SD 57118-6430
United States
Phone: (605) 322-4900 | Fax: (605) 322-4910
📍 View Map
Primary Practice Address1910 W 69th St
Sioux Falls, SD 57108-5612
United States
Phone: (605) 322-5200 | Fax: (605) 322-5205
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family Medicine
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About NPI 1134324445

Avera Mckennan is an organization registered in the CMS NPPES NPI Registry with NPI number 1134324445. The primary specialty listed is Family Medicine. The organization is located in Sioux Falls, SD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1134324445?

NPI 1134324445 belongs to Avera Mckennan, a Family Medicine in Sioux Falls, SD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1134324445 active?

The current status of NPI 1134324445 in the NPPES registry is Active. The record was last updated on 2012-05-10.

What specialty is NPI 1134324445?

NPI 1134324445 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1134324445?

You can verify NPI 1134324445 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1134324445?

The primary practice address on file for NPI 1134324445 is 1910 W 69th St, Sioux Falls, SD 57108-5612. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1134324445 issued?

NPI 1134324445 was first issued (enumerated) on 2007-06-18. The NPPES record was last updated on 2012-05-10.

Practice Location Map

Avera Mckennan is located at 1910 W 69th St, Sioux Falls, SD. Use the map below to find directions or verify the practice location.

📍 1910 W 69th St, Sioux Falls, SD 57108-5612  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Avera Mckennan. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162