Team Medical PA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0212447 Issued in MN

Legal business name

TEAM MEDICAL PA

Practice address

3455 4TH Ave S
Minneapolis, MN 55408-4527

Phone

(612) 486-2223

Fax

(612) 437-4737

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Anna L Jauregui

Title

Office Manager

Phone

(612) 486-2223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1972932499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 4TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084527",
            "telephone_number": "612-486-2223",
            "fax_number": "612-437-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 4TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084527",
            "telephone_number": "612-486-2223",
            "fax_number": "612-437-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "JAUREGUI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-486-2223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "0212447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviane Tchonang Leuche, M.D.
• Ulrich Lengrand Tchouta
• Alicia M Teagarden, D.O.
• Rebekah Ann Teague, P.A.
• Team Chiropractic, Inc.
• Kristina May Techar
• Thomas J Tedeschi, AU.D.
• Wrenda Teeple, PHARM.D.
• Ruth McGowan Teesdale, CNP, NNP-BC
• James John Teet, D.O.

• Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.