Sanon Edmond

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11009453 Issued in FL

Practice address

5236 Arbor Glen Cir
Lake Worth, FL 33463-8066

Phone

(786) 413-9798

NPI assigned

Oct 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Center for Alcohol and Drug Studies, LLC.

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
  • NPI 1801227046
  NPD (past)

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1851998082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 ARBOR GLEN CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638066",
            "telephone_number": "786-413-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 ARBOR GLEN CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638066",
            "telephone_number": "786-413-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMOND",
        "first_name": "SANON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11009453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Ebelhardt, LMT
• Edelstein Pediatrics
• Edge Medical Marketing LLC
• Edicom Health Partners LLC
• Milene Edmond
• Eduardo Jusino MD LLC
• Melvin Edwards Chacon
• Timothy Ray Edwards, PH.D.
• Effective Physical Therapy Inc
• Lucrecia Eichmann

• Adult Health Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.