OrganizationActive
Avera Mckennan
NPI 1629052451 · Obstetrics & Gynecology Physician · Sioux Falls, SD
Provider details
- NPI number
- 1629052451
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Norton, Cfo/Svp(605) 322-7818
- License
- 2481 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1910 W 69th St
Suite 100
Sioux Falls, SD 57108-5612
Phone: (605) 322-5260
Fax: (605) 322-5265
Street-level locationGet directions
Mailing address
Po Box 84632
Sioux Falls, SD 57118-4632
Other names (DBA / former)
- Doing business as
- Avera Lee Mabee Ob/Gyn
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2017-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.