# AVERA MCKENNAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group Certified Nurse Midwifery Sioux Falls
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417929100
- **Authorized official:** JULIE N. NORTON (SENIOR VP OF FINANCE)
- **Authorized official phone:** (605) 322-6375

## Contact information

- **Practice address:** 1417 S. CLIFF AVE., STE. 400A, SIOUX FALLS, SD 57105-1064
- **Practice address phone:** (605) 322-8877
- **Practice address fax:** (605) 322-8941
- **Mailing address:** 2400 S. MINNESOTA AVE., STE. 100, SIOUX FALLS, SD 57105-3762
- **Mailing address phone:** (605) 322-7510
- **Mailing address fax:** (605) 322-6475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 02/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0006113 | BCBS | SD |
| 05 | — | 0745737 | — | IA |
| 05 | — | 10025071600 | — | NE |
| 01 | — | 370624200 | DEPT OF LABOR | SD |
| 01 | — | 50F30HA | BLUE PLUS | MN |
| 01 | — | 70415 | HEALTHPARTNERS | SD |
| 01 | — | 9240193 | DAKOTACARE | SD |