Avera Mckennan
Avera Mckennan is a healthcare organization registered as Obstetrics & Gynecology Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1629052451 since 2005. The authorized official on file is Julie Norton, Cfo/Svp.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629052451 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1910 W 69TH ST, SUITE 100, Sioux Falls, SD, 57108 |
| Phone | 6053225260 |
| Fax | 6053225265 |
| Enumeration date | 2005-12-05 |
| Last updated in NPPES | 2017-05-31 |
Authorized official
| Name | Julie Norton |
|---|---|
| Title | Cfo/Svp |
| Phone | 6053227818 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology Physician | Primary | 2481 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22232 | Other | — | SIOUX VALLEY HEALTH PLAN |
| 228834 | Other | — | MIDLANDS CHOICE |
| 6200390 | Medicaid | SD | — |
| 0009398 | Other | — | WALLMARK |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1629052451 Taxonomy: 207V00000X (Obstetrics & Gynecology Physician) Address: 1910 W 69TH ST, SUITE 100, Sioux Falls, SD, 57108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750354791 | Andrea Miller-Burchett | Individual | Family Medicine Physician | Sioux Falls, SD |
| 1588609069 | Carilyn Vankalsbeek | Individual | Family Medicine Physician | Sioux Falls, SD |
| 1437194636 | Dawn Flickema | Individual | Family Medicine Physician | Sioux Falls, SD |
| 1063438968 | Scott Dierks | Individual | Family Medicine Physician | Sioux Falls, SD |
| 1942421516 | Aaron Prestbo | Individual | Family Medicine Physician | Sioux Falls, SD |
| 1134324445 | Avera Mckennan | Organization | Family Medicine Physician | Sioux Falls, SD |
| 1750571808 | Jason Knutson | Individual | Family Medicine Physician | Sioux Falls, SD |
| 1952568388 | Jill Termaat | Individual | Family Medicine Physician | Sioux Falls, SD |
Verify this record
Cross-check NPI 1629052451 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
What type of organization is Avera Mckennan?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-05-31.