Individual provider Active NPI

Teresa Louise-Keller Gurin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Eagan, MN
National Provider Identifier
1821046566
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
39052 Issued in MN
Practice address
4660 Slater Rd Ste 240
Eagan, MN 55122-4047
Phone
(952) 223-3339
Fax
(952) 314-1401
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 39052 MN Primary

Addresses

Primary practice location

4660 Slater Rd Ste 240
Eagan, MN 55122-4047

Mailing address

4660 Slater Rd Ste 240
Eagan, MN 55122-4047
Phone (952) 223-3339

Other practice location 1

825 Nicollet Mall
Suite 809
Minneapolis, MN 55402-2606
Phone (952) 223-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 16, 2025 through Oct 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: teresa.gurin.1@27948.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1821046566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 SLATER RD STE 240",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224047",
            "telephone_number": "952-223-3339",
            "fax_number": "952-314-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SLATER RD STE 240",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224047",
            "telephone_number": "952-223-3339",
            "fax_number": "952-314-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Nicollet Mall",
            "address_2": "Suite 809",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554022606",
            "country_code": "US",
            "telephone_number": "952-223-3339",
            "fax_number": "952-314-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURIN",
        "first_name": "TERESA",
        "middle_name": "LOUISE-KELLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "39052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.