AVERA MCKENNAN HOSPITAL MEDICAL STAFF
NPI 1275984403
Nurse Practitioner - Family in Sioux Falls, SD
NPI Status: Active since June 29, 2016
Contact Information
1325 S CLIFF AVE
PLAZA 4
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-6792
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 43D0658878
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About AVERA MCKENNAN HOSPITAL MEDICAL STAFF
This page provides the complete NPI Profile along with additional information for Avera Mckennan Hospital Medical Staff, a provider established in Sioux Falls, South Dakota operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1275984403 assigned on June 2016. The practitioner's primary taxonomy code is 363LF0000X with license number CP001103 (SD). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Justin Garry Mha, Fache, Facmpe (Clinic Administrative Manager)
- NPI
- 1275984403
- Provider Name
- AVERA MCKENNAN HOSPITAL MEDICAL STAFF
- Entity Type
- Organization
- Location Address
- 1325 S CLIFF AVE PLAZA 4 SIOUX FALLS, SD 57105
- Location Phone
- (605) 322-6792
- Mailing Address
- 1325 S CLIFF AVE PLAZA 4 SIOUX FALLS, SD 57105
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2016
- Last Update Date
- 06-29-2016
- Code Navigator
A nurse practitioner (NP) like Avera Mckennan Hospital Medical Staff is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- CP001103
- License State
- SD
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D0658878
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. RAED A. SULAIMAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Avera Mckennan Hospital Medical Staff on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for AVERA MCKENNAN HOSPITAL MEDICAL STAFF
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275984403, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275984403, enumerated as an "organization" on June 29, 2016.
The provider is located at 1325 S CLIFF AVE PLAZA 4 SIOUX FALLS, SD 57105 and the phone number is (605) 322-6792.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
