OrganizationActive
Avera Mckennan
NPI 1831230408 · Nurse Practitioner · Tea, SD
Provider details
- NPI number
- 1831230408
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ronald Farr, Sr Vice President of Finance(605) 368-9899
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
725 E Figzel Ct
Suite 100
Tea, SD 57064-2276
Phone: (605) 368-9899
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 90608
Sioux Falls, SD 57109-0608
Other names (DBA / former)
- Doing business as
- Avera Tea Medical Clinic
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.