Avera Mckennan
Avera Mckennan is a healthcare organization registered as Home Health Agency in Gregory, SD, holding Type 2 (organization) NPI 1811091473 since 2006. The authorized official on file is Julie Norton, Vp/Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1811091473 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 400 PARK AVE, Gregory, SD, 57533 |
| Phone | 6058358394 |
| Fax | 6058359422 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2012-04-25 |
Authorized official
| Name | Julie Norton |
|---|---|
| Title | Vp/Cfo |
| Phone | 6053226375 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251E00000X | Home Health Agency | Primary | — | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9550490 | Medicaid | SD | — |
| 0171450 | Medicaid | SD | — |
| 9556080 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1811091473 Taxonomy: 251E00000X (Home Health Agency) Address: 400 PARK AVE, Gregory, SD, 57533
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083896294 | James Arlt | Individual | Certified Registered Nurse Anesthetist | Gregory, SD |
| 1417215740 | Avera Mckennan | Organization | Medicare Defined Swing Bed Hospital Unit | Gregory, SD |
| 1346660693 | Avera at Home | Organization | In Home Supportive Care Agency | Gregory, SD |
| 1770939530 | Avera Gregory | Organization | Critical Access Hospital | Gregory, SD |
| 1720435068 | Justin Hood | Individual | Physical Therapist | Gregory, SD |
| 1326495409 | Avera Mckennan | Organization | Physical Therapy Clinic/Center | Gregory, SD |
| 1861841710 | Lacy Krysl | Individual | Occupational Therapist | Gregory, SD |
| 1487176202 | Tanae Kartak | Individual | Occupational Therapist | Gregory, SD |
Verify this record
Cross-check NPI 1811091473 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
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Where is Avera Mckennan located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-04-25.