DR. AUDREY WELLS GURULE (NPI# 1417122862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417122862 |
| Entity Type | Individual |
| Full Name | DR. AUDREY WELLS GURULE |
| Credential | MD |
| Practice Address |
14101 Fairview Dr Ste 300 Burnsville MN 55337-2537 |
| Mailing Address |
6500 Jefferson St Ne Albuquerque NM 87109-3489 |
| Practice Telephone | 9528922650 |
| Practice Fax Number | 9528922654 |
| Mailing Telephone | 5058438758 |
| Mailing Fax Number | 5058438759 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 2003020150 | MO | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
2003020150 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
RS20080525 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6500 Jefferson St Ne, Albuquerque, NM 871093489 | 5058438758 | 5058438759 |
| Street Address |
14101 FAIRVIEW DR STE 300 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003935313 | Linda Larson | Physical Therapy Assistant | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2007-03-28 |
| 1013559145 | Jens Prem Tamang | Occupational Therapist | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2019-10-10 |
| 1700300381 | Clair Gloria Bernard | Occupational Therapist | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2017-07-26 |
| 1902329030 | Molly Schull | Physical Therapist | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2017-07-20 |
| 1558883710 | Kirsten Elizabeth Lambert | Physical Therapist | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2017-07-10 |
| 1093058240 | Michael Lee Knudsen | Orthopaedic Surgery | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2013-04-05 |
| 1801169636 | Katie Schumacher | Occupational Therapist | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2012-02-09 |
| 1265718100 | Jessica Heimkes | Occupational Therapist | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2011-10-24 |
| 1144479627 | Albert Yeo | Family Medicine | 14101 Fairview Dr Ste 300, Burnsville, MN 55337 | 2008-09-09 |
| 1023297454 | Stephen Florante Austria | Physical Therapist | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 2080S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sleep Medicine |
| A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679864201 | Yosef Y Wexler | Pediatrics | 310 Smith Ave N, Ritchie Medical Plaza Suite 480, Saint Paul, MN 55102-2393 | 2011-05-01 |
| City | BURNSVILLE |
| Zip Code | 55337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.