Active NPI
Avera McKennan
Doing business as Avera Rehabilitation Associates
- Physical Medicine & Rehabilitation Physician
- Sioux Falls, SD
National Provider Identifier
1841427770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- AVERA MCKENNAN
- Doing business as
- Avera Rehabilitation Associates
- Practice address
- 1100 E 21St St
Ste 610
Sioux Falls, SD 57105-1020 - Phone
- (605) 322-8860
- Fax
- (605) 322-8868
- NPI assigned
- Jun 18, 2009
- Last updated
- Mar 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie N Norton
- Title
- Senior VP of Finance
- Phone
- (605) 322-6375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1100 E 21St St
Ste 610
Sioux Falls, SD 57105-1020
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other names 1
- Avera Rehabilitation Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000117 | SD | Part B Supplier - Clinic/Group Practice | 0345157103 |
Receives reassigned benefits from 1,418 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Beresford Neuropsychiat
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Critical Access Hospital
- Gregory, SD
- NPI 1770939530
-
dba Avera Dells Area Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Dell Rapids, SD
- NPI 1710089172
-
dba Avera Dialysis Sioux Falls
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sioux Falls, SD
- NPI 1710316252
-
dba Avera McKennan Hospital Neonatal Intensive Care Unit
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1730390428
-
dba Avera Medical Group Behavioral Health Clinic
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1760933261
-
dba Avera Flandreau Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Flandreau, SD
- NPI 1770690398
-
dba Avera McKennan Renal Transplant Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sioux Falls, SD
- NPI 1770753246
-
- Home Health Agency
- Marion, SD
- NPI 1780887604
-
dba Avera Medical Group Family Wellness
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1821478249
-
dba Avera Medical Group Pediatric Critical Care Services
- Pediatric Critical Care Medicine Physician
- Sioux Falls, SD
- NPI 1821686932
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Sioux Falls, SD
- NPI 1982141529
-
- Adult Health Nurse Practitioner
- Sioux Falls, SD
- NPI 1427463371
-
- Surgical Physician Assistant
- Sioux Falls, SD
- NPI 1609809094
-
- Pain Medicine (Anesthesiology) Physician
- Sioux Falls, SD
- NPI 1356410161
-
- Family Nurse Practitioner
- Freeman, SD
- NPI 1457827735
-
- Pain Medicine Physician
- Rochester, MN
- NPI 1154945608
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Rochester, MN
- NPI 1437566262
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269907200000",
"number": "1841427770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86370",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186370",
"telephone_number": "605-322-7510",
"fax_number": "605-322-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E 21ST ST",
"address_2": "STE 610",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051020",
"telephone_number": "605-322-8860",
"fax_number": "605-322-8868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA MCKENNAN",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-18",
"last_updated": "2010-03-30",
"status": "A",
"authorized_official_last_name": "NORTON",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "SENIOR VP OF FINANCE",
"authorized_official_telephone_number": "605-322-6375"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avera Rehabilitation Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sioux Falls, SD
- Avera McKennan (Avera Medical Group Behavioral Health Clinic)
- Avera McKennan (Avera Internal Medicine)
- Avera McKennan (Avera McKennan Renal Transplant Center)
- Avera McKennan (Avera Medical Group Family Wellness)
- Avera McKennan (Avera Medical Group Pediatric Critical Care Services)
- Avera McKennan (Avera Medical Group Family Health Center)
- Avera McKennan (Avera Medical Group Optometry)
- Avera McKennan (Avera Plaza 2 Pharmacy)
- Avera McKennan (Avera McKennan Hospital and University Health Center - Placement)
- Avera McKennan (Avera McKennan Regional Lab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.