Organization Active NPI

Medihue Health LLC

  • Family Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1508554320
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MEDIHUE HEALTH LLC
Practice address
4300 N University Dr
Lauderhill, FL 33351-6249
Phone
(888) 633-4481
Fax
(888) 633-4481
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Vanessa RussellNPI 1225543671
Title
Ceo
Phone
(954) 736-9744

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4300 N University Dr
Lauderhill, FL 33351-6249

Mailing address

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

Other names 1

  • Flawless Icon Davie Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009001376 FL Part B Supplier - Clinic/Group Practice 5799282315 Receives reassigned benefits from 2 practitioners
Practice locations: Lauderhill, FL

National Provider Directory

National Provider Directory

Locations

1865 N Pine Island Rd
Plantation, FL 33322

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1508554320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE F100",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "888-633-4481",
            "fax_number": "888-633-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "888-633-4481",
            "fax_number": "888-633-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIHUE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-736-9744"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flawless Icon Davie",
            "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 Jan 29, 2026; 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.