Individual provider Active NPI

Vanessa A Russell, ARNP , NP-C

  • Family Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1225543671
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9314736 Issued in FL
Practice address
2951 NW 49TH Ave Ste 306
Lauderdale Lakes, FL 33313-1617
Phone
(954) 717-4066
NPI assigned
Dec 7, 2017
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 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 ARNP9314736 FL Primary

Addresses

Primary practice location

2951 NW 49TH Ave Ste 306
Lauderdale Lakes, FL 33313-1617

Mailing address

9656 NW 76TH CT
Tamarac, FL 33321-1977
Phone (954) 736-9744

Other practice location 1

4300 N University Dr.
Ste F- 100 # A242
Sunrise, FL 33351
Phone (888) 633-4481

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
I20180724003019 FL Practitioner - Nurse Practitioner 0547517468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4300 N University Dr
Suite F100
Lauderhill, FL 33351-6243
Phone (888) 633-4481

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9314736FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar Mendez MD PA CurrentSince Apr 24, 2018 Accepting new patients
Medihue Health LLC Family CurrentSince Aug 12, 2025 Accepting new patients
Chiro Worx Injury Center Inc CurrentSince Jul 28, 2025 Accepting new patients
Hospitalis10 Inc PastSince Jan 21, 2022 Accepting new patients

Locations

2951 NW 49th Ave
Ste 306
Lauderdale Lakes, FL 33313
Phone (954) 717-4066

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

4300 N University Dr
Ste A100
Lauderhill, FL 33351
Phone (888) 633-4481

4300 N University Dr
Ste F100
Lauderhill, FL 33351
Phone (888) 633-4481

5950 W Oakland Park Blvd
Ste 300
Lauderhill, FL 33313
Phone (954) 717-4066

6931 W Broward Blvd
Plantation, FL 33317
Phone (954) 321-5191

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1225543671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9656 NW 76TH CT",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211977",
            "telephone_number": "954-736-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE STE 306",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131617",
            "telephone_number": "954-717-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 N University Dr.",
            "address_2": "Ste F- 100 # A242",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "33351",
            "country_code": "US",
            "telephone_number": "888-633-4481",
            "fax_number": "888-633-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "VANESSA",
        "middle_name": "A",
        "credential": "ARNP , NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9314736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.