Avera Mckennan
Avera Mckennan is a healthcare organization registered as General Practice Physician in Brookings, SD, holding Type 2 (organization) NPI 1912936535 since 2006. The authorized official on file is Julie Norton, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912936535 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 400 22ND AVE., Brookings, SD, 57006 |
| Phone | 6056979500 |
| Fax | 6056976939 |
| Enumeration date | 2006-07-03 |
| Last updated in NPPES | 2011-03-10 |
Authorized official
| Name | Julie Norton |
|---|---|
| Title | Cfo |
| Phone | 6053226375 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | — | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1912936535 Taxonomy: 208D00000X (General Practice Physician) Address: 400 22ND AVE., Brookings, SD, 57006
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568461804 | Janine Bassett | Individual | Family Nurse Practitioner | Brookings, SD |
| 1700844131 | Daniel Cecil | Individual | Internal Medicine Physician | Brookings, SD |
| 1952369142 | Richard Gudvangen | Individual | Obstetrics & Gynecology Physician | Brookings, SD |
| 1104874098 | Robert Rietz | Individual | Otolaryngology Physician | Brookings, SD |
| 1043268063 | Debra Rodeghiero Johnston | Individual | Family Medicine Physician | Brookings, SD |
| 1801844824 | Richard Hieb | Individual | Family Medicine Physician | Brookings, SD |
| 1770531725 | Tatiana Sergeev | Individual | Pediatrics Physician | Brookings, SD |
| 1194775130 | Gerald Turner | Individual | Pediatrics Physician | Brookings, SD |
Verify this record
Cross-check NPI 1912936535 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 2011-03-10.