Individual provider Active NPI

Sesan L Ogunniran, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn Center, MN
National Provider Identifier
1205635141
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14068 Issued in MN
Practice address
2800 Freeway Blvd Ste 100
Brooklyn Center, MN 55430-1751
Phone
(612) 886-9404
NPI assigned
Mar 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14068 MN Primary
Home Health Registered Nurse 163WH0200X 2086187 MN

Addresses

Primary practice location

2800 Freeway Blvd Ste 100
Brooklyn Center, MN 55430-1751

Mailing address

2800 Freeway Blvd Ste 100
Suite 1a
Brooklyn Center, MN 55430-1751
Phone (612) 501-4029

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2086187MNMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elizjoseph Healthcare LLC Home Health CurrentSince Mar 20, 2025 Accepting new patients
Elizjoseph Behavioral Health, PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

2800 Freeway Blvd
Ste 100
Brooklyn Center, MN 55430
Phone (612) 501-4029

2800 Freeway Blvd
Ste 1A
Brooklyn Center, MN 55430
Phone (763) 566-4325

6500 Brooklyn Blvd
Ste 100
Brooklyn Center, MN 55429
Phone (612) 501-4029

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1205635141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FREEWAY BLVD STE 100",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301751",
            "telephone_number": "612-501-4029",
            "fax_number": "612-501-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FREEWAY BLVD STE 100",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301751",
            "telephone_number": "612-886-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNIRAN",
        "first_name": "SESAN",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "14068",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2086187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.