AVERA MCKENNAN
NPI 1831230408
Nurse Practitioner in Tea, SD

Q: What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1831230408. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Avera Tea Medical Clinic.

Q: What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2007

725 E FIGZEL CT, SUITE 100, TEA, SD 57064(605) 368-9899 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Avera Mckennan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MCKENNAN (NPI 1831230408), doing business as Avera Tea Medical Clinic, is a healthcare organization registered as a nurse practitioner in Tea, South Dakota and active in the NPI registry since February 2007. The organization lists Ronald J Farr, Sr Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1831230408

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameAVERA MCKENNAN

Location Address725 E FIGZEL CT, SUITE 100Tea, SD 57064-2276

Mailing AddressPo Box 90608Sioux Falls, SD 57109-0608 · (605) 782-8313 · Fax (605) 782-8386

Phone(605) 368-9899

Organization SubpartNo

Authorized OfficialRonald J FarrSr Vice President Of Finance · (605) 368-9899

Enumeration DateFebruary 8, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1831230408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Other Names 1

Doing Business AsAvera Tea Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER WILLIAM LANE D.C

Chiropractor

725 E FIGZEL CT, #104
TEA, SD 57064

Lincoln County (605) 498-5100

DR. WAYNE ROBERT HUBER JR. D.C, C.C.S.P

Chiropractor (Sports Physician)

725 E FIGZEL CT, #104
TEA, SD 57064

Lincoln County (605) 498-5100

AVERA MCKENNAN

Family Medicine

725 E FIGZEL CT, SUITE 100
TEA, SD 57064

Lincoln County (605) 368-9899

PAMELA G ELSHERE PAC

Physician Assistant

725 E FIGZEL CT, SUITE 100
TEA, SD 57064

Lincoln County (605) 368-9899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1831230408. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Avera Tea Medical Clinic.

Where is Avera Mckennan located?

Avera Mckennan is located at 725 E Figzel Ct Suite 100, Tea, SD 57064. The listed phone number is (605) 368-9899.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.