Avera McKennan

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AVERA MCKENNAN

Doing business as

Avera Medical Group Brookings

Practice address

400 22ND Ave
Brookings, SD 57006-2497

Phone

(605) 697-9500

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Norton

Title

VP Executive

Phone

(605) 322-7818

Specialties & licenses 1

Addresses

Other names 1

• Avera Medical Group Brookings Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Presentation Health Sys105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Avera McKennan

  dba Avera Medical Group Addiction Medicine

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Sioux Falls, SD
  • NPI 1013668698
  NPD tax ID
• Avera McKennan

  dba Avera Dialysis Mitchell

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mitchell, SD
  • NPI 1023413093
  NPD tax ID
• Avera McKennan

  dba AveraNow

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1023480951
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group McGreevy 69th & Minnesota Pediatrics

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1033405436
  NPD tax ID
• Avera McKennan

  dba Avera Prince of Peace Assisted Living

  • Assisted Living Facility
  • Sioux Falls, SD
  • NPI 1053556068
  NPD tax ID
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Health Care Clinic Sioux Falls

  • Internal Medicine Physician
  • Sioux Falls, SD
  • NPI 1083894067
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Milbank

  • Family Medicine Physician
  • Milbank, SD
  • NPI 1114594868
  NPD tax ID
• Avera McKennan

  dba Avera Children's

  • Pediatric Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1144488537
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group 69th and Cliff

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1144635863
  NPD tax ID
• Avera McKennan

  dba Avera McKennan Hospital and University Health Center - Diabetic Ed

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1154531630
  NPD tax ID
• Avera McKennan

  dba Avera Addiction Care Center

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
  • NPI 1154979805
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1063782373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062497",
            "telephone_number": "605-697-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062497",
            "telephone_number": "605-697-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP EXECUTIVE",
        "authorized_official_telephone_number": "605-322-7818"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group Brookings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Anna Angove-Milianta, BS
• Forrest Anshutz, PT
• Hunter Anshutz, DPT
• Heather Asmussen, BCBA; LABA
• At Ease Counseling Services, LLC
• Avera McKennan (Avera Dialysis Brookings)
• Avera McKennan (Avera Medical Group Brookings)
• Avera McKennan
• Avera McKennan (Avera Medical Group Infusion)
• Amy Richmond Aylor, PHARMD

• Clinical Medical Laboratory in Brookings, SD
• Providers in Brookings, SD by specialty
• Clinical Medical Laboratory in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.