Individual provider Active NPI

Odmene Sanon, FNP

  • Family Nurse Practitioner
  • Elmhurst, NY
National Provider Identifier
1225754732
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348693 Issued in NY
Practice address
8812 Queens Blvd Ste 2
Elmhurst, NY 11373-4489
Phone
(718) 280-9680
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348693 NY Primary

Addresses

Primary practice location

8812 Queens Blvd Ste 2
Elmhurst, NY 11373-4489

Mailing address

2284 Oxford St
East Meadow, NY 11554-2534
Phone (646) 600-2094

Other names 1

  • Odmene Sanon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206000395 NY Order and Referring Only - Nurse Practitioner 7315319175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VXL Medical Care P.C. CurrentSince Mar 3, 2024 Accepting new patients

Locations

8812 Queens Blvd
Ste 2
Elmhurst, NY 11373

8812 Queens Blvd
Flushing, NY 11373
Phone (516) 830-5444

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: osanon14705@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HECIDD/Endpoint/HECIDD

Organizations & group practices 1

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1225754732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 OXFORD ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542534",
            "telephone_number": "646-600-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 QUEENS BLVD STE 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734489",
            "telephone_number": "718-280-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANON",
        "first_name": "ODMENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODMENE",
            "last_name": "SANON",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.