{"npi":"1891718136","type":"NPI-2","status":"active","name":{"display":"Avera Mckennan","other":[],"organization_name":"AVERA MCKENNAN","authorised_official":"David Flicek"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":"SD","license":"43D0658878"}]},"addresses":[{"purpose":"LOCATION","street_1":"1301 S CLIFF AVE","city":"SIOUX FALLS","state":"SD","postal_code":"571051005","country_code":"US","street_2":"REGIONAL LAB","phone":"6053227187","fax":"6053227183"},{"purpose":"MAILING","street_1":"PO BOX 5045","city":"SIOUX FALLS","state":"SD","postal_code":"571175045","country_code":"US","street_2":"ATTN: P.F.S.","phone":"6053227187","fax":"6053227183"}],"license":{"state":"SD","number":"43D0658878"},"identifiers":[{"type_code":"01","label":"Other","value":"4995742","state":"SD","issuer":"BLUE CROSS OF SD"},{"type_code":"01","label":"Other","value":"604999","state":"SD","issuer":"ARAZ"},{"type_code":"05","label":"Medicaid","value":"5580610","state":"SD","issuer":null},{"type_code":"01","label":"Other","value":"1034593","state":"SD","issuer":"PREFERRED ONE"},{"type_code":"01","label":"Other","value":"165L6AV","state":"MN","issuer":"BLUE CROSS OF MINNESOTA"},{"type_code":"01","label":"Other","value":"F230764","state":"SD","issuer":"MIDLANDS CHOICE"},{"type_code":"05","label":"Medicaid","value":"0569285","state":"IA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040205000938","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"SD","pac_id":"0345157103"}]},"enumeration_date":"2006-07-26","last_updated":"2020-11-12","_meta":{"source":"NPPES","snapshot_date":"2020-11-12","doc_url":"https://findmynpi.com/api"}}