Avera Mckennan
Avera Mckennan is a healthcare organization registered as Family Medicine Physician in Salem, SD, holding Type 2 (organization) NPI 1710107685 since 2007. The authorized official on file is Julie Norton, Sr Vice President of Finance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710107685 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 740 S HILL ST, Salem, SD, 57058 |
| Phone | 6054252855 |
| Fax | 6054252149 |
| Enumeration date | 2007-04-26 |
| Last updated in NPPES | 2012-05-10 |
Authorized official
| Name | Julie Norton |
|---|---|
| Title | Sr Vice President of Finance |
| Phone | 6053227818 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1710107685 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 740 S HILL ST, Salem, SD, 57058
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992775027 | Joni Wagner | Individual | Physician Assistant | Salem, SD |
| 1952339343 | John Barnett | Individual | Medical Physician Assistant | Salem, SD |
| 1720608417 | Aleesha Deknikker | Individual | Family Nurse Practitioner | Salem, SD |
Verify this record
Cross-check NPI 1710107685 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 2012-05-10.