Individual provider Active NPI

Heleen Suckram, ARNP

  • Family Nurse Practitioner
  • Margate, FL
National Provider Identifier
1891246948
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9220038 Issued in FL
Practice address
2930 NW 69TH Ave
Margate, FL 33063-2044
Phone
(754) 779-0282
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9220038 FL Primary

Addresses

Primary practice location

2930 NW 69TH Ave
Margate, FL 33063-2044

Mailing address

2930 NW 69TH Ave
Margate, FL 33063-2044
Phone (754) 779-0282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210604001878 FL Practitioner - Nurse Practitioner 5799184156 Reassigns benefits to 1 organization
Practice locations: Margate, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9220038FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chriscavel Corporation Current Accepting new patients

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1891246948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 NW 69TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632044",
            "telephone_number": "754-779-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 NW 69TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632044",
            "telephone_number": "754-779-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCKRAM",
        "first_name": "HELEEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9220038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.