Avera Mckennan
Avera Mckennan is a healthcare organization registered as Physical Medicine & Rehabilitation Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1134195332 since 2006. The authorized official on file is David Flicek, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134195332 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1301 S. CLIFF AVE., STE. 401, Sioux Falls, SD, 57105 |
| Phone | 6053227300 |
| Fax | 6053227301 |
| Enumeration date | 2006-02-27 |
| Last updated in NPPES | 2018-10-24 |
Authorized official
| Name | David Flicek |
|---|---|
| Title | Ceo/President |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92411422907 | Other | MN | PRIMEWEST |
| 0548487 | Medicaid | IA | — |
| 0007817 | Other | SD | BCBS |
| 600045200 | Medicaid | MN | — |
| 49D15RE | Other | MN | BCBS |
| 77752 | Other | SD | HP |
| 37624200 | Other | SD | DEPT OF LABOR |
| 9177484 | Other | SD | DC |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1134195332 Taxonomy: 208100000X (Physical Medicine & Rehabilitation Physician) Address: 1301 S. CLIFF AVE., STE. 401, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194723924 | Henry Travers | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1356349179 | Diane Sneed | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1962400788 | Raed Sulaiman | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1912973785 | Fady Jamous | Individual | Pulmonary Disease Physician | Sioux Falls, SD |
| 1700852480 | Brian Hurley | Individual | Pulmonary Disease Physician | Sioux Falls, SD |
| 1720054091 | Thomas Ripperda | Individual | Physical Medicine & Rehabilitation Physician | Sioux Falls, SD |
| 1073564019 | Birgit Heeren | Individual | Nurse Practitioner | Sioux Falls, SD |
| 1174574800 | Victoria Knudsen | Individual | Retina Specialist (Ophthalmology) Physician | Sioux Falls, SD |
Verify this record
Cross-check NPI 1134195332 against the authoritative CMS record: view Avera Mckennan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Avera Mckennan located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-10-24.