AVERA MCKENNAN NPI 1548233885

NPI Information

NPI: 1548233885
Provider Name: AVERA MCKENNAN
Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Doing Business As: AVERA DOCTORS PLAZA IMAGING CENTER
Address: 1001 E 21ST ST
STE. 403
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-1745

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NPI Details

AVERA MCKENNAN is a radiologic technologist in Sioux Falls, SD. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. AVERA MCKENNAN NPI is 1548233885. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Doctors Plaza Imaging Center.

The provider's business location address is:

1001 E 21ST ST
STE. 403
SIOUX FALLS, SD
ZIP 57105-033
Phone: (605) 322-1745
Fax: (605) 322-1746

The provider's authorized official is Julie N Norton .
The authorized official title is Senior Vp Of Finance and has the following contact phone number (605) 322-6375.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 3/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247100000X	Radiologic Technologist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	370624200	OTHER	SOUTH DAKOTA	DEPT OF LABOR
2	10025121100	MEDICAID	NEBRASKA
3	S41587	MEDICARE PIN	SOUTH DAKOTA
4	543R6AV	OTHER	MINNESOTA	BLUE PLUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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