Individual provider Active NPI

Joann Osasumwen Imasuen

  • Registered Nurse
  • Bloomington, MN
National Provider Identifier
1104795863
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2486086 Issued in MN
Practice address
4533 Normandale Highlands Dr
Bloomington, MN 55437-2310
Phone
(612) 481-7126
NPI assigned
Oct 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2486086 MN Primary

Addresses

Primary practice location

4533 Normandale Highlands Dr
Bloomington, MN 55437-2310

Mailing address

4533 Normandale Highlands Dr
Bloomington, MN 55437-2310
Phone (612) 481-7126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2486086MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1104795863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 NORMANDALE HIGHLANDS DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372310",
            "telephone_number": "612-481-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 NORMANDALE HIGHLANDS DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372310",
            "telephone_number": "612-481-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMASUEN",
        "first_name": "JOANN",
        "middle_name": "OSASUMWEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-31",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2486086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.