Organization Active NPI

Chriscavel Corporation

Doing business as First Start Screening & Lab Services

  • Primary Care Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1316795529
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CHRISCAVEL CORPORATION
Doing business as
First Start Screening & Lab Services
Practice address
3800 Inverrary Blvd Ste 100H
Lauderhill, FL 33319-4316
Phone
(754) 215-0258
NPI assigned
May 11, 2024
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Heleen Suckram, APRNNPI 1891246948
Title
President
Phone
(754) 215-0258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

3800 Inverrary Blvd Ste 100H
Lauderhill, FL 33319-4316

Mailing address

3800 Inverrary Blvd Ste 100H
Lauderhill, FL 33319-4316
Phone (754) 215-0258

Other names 1

  • First Start Screening & Lab Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528003475 FL Part B Supplier - Clinic/Group Practice 4486096062 Receives reassigned benefits from 1 practitioner
Practice locations: Lauderhill, FL

National Provider Directory

National Provider Directory

Locations

3800 Inverrary Blvd
Ste 10
Lauderhill, FL 33319
Phone (754) 215-0258

3800 Inverrary Blvd
Ste 100H
Lauderhill, FL 33319
Phone (754) 215-0258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1316795529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 INVERRARY BLVD STE 100H",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194316",
            "telephone_number": "754-215-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 INVERRARY BLVD STE 100H",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194316",
            "telephone_number": "754-215-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISCAVEL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "SUCKRAM",
        "authorized_official_first_name": "HELEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-215-0258",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Start Screening & Lab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.