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MS. VIVAKSHA KHANDURI DNP, FNP-BC
NPI 1225548324
Nurse Practitioner - Family in Edmonds, WA

Active since October 04, 2017
7631 212TH ST SW STE 107B, EDMONDS, WA 98026(425) 610-9394(833) 418-1959 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2025, Oct 2, 2020, Jun 22, 2020 and 1 more (4 updates tracked since 2019).

About Ms. Vivaksha Khanduri Dnp, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. VIVAKSHA KHANDURI DNP, FNP-BC (NPI 1225548324) is an individual family provider in Edmonds, Washington, licensed in Washington (AP60798086) and active in the NPI registry since October 2017. She maintains a secondary practice location in Sedro Woolley.

NPPES Registry Identity

NPI1225548324
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. VIVAKSHA KHANDURICredential: DNP, FNP-BC
Location Address7631 212TH ST SW STE 107BEdmonds, WA 98026-7565
Mailing Address4580 Klahanie Dr Se # 197Sammamish, WA 98029-5812 · (425) 610-9394 · Fax (833) 418-1959
Phone(425) 610-9394
Fax(833) 418-1959
Sole ProprietorYes
Enumeration DateOctober 4, 2017
Last NPPES UpdateJuly 3, 20254 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1225548324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60798086
7631 212TH ST SW STE 107B, Edmonds, WA 98026
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Secondary Practice Location 1

Location 1700 Murdock St Ste ASedro Woolley, WA 98284 · Phone (360) 207-1530 · Fax (833) 418-1959

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLISS FERTILITY AND WOMEN'S HEALTH PLLC
Nurse Practitioner (Obstetrics & Gynecology)
7631 212TH ST SW STE 107B
EDMONDS, WA 98026
Snohomish County (206) 715-7674
ALDORA INJURY AND WELLNESS PLLC
Nurse Practitioner (Family)
7631 212TH ST SW STE 107B
EDMONDS, WA 98026
Snohomish County (425) 610-9394

Frequently Asked Questions

What is Vivaksha Khanduri's NPI number?

The NPI number assigned to this healthcare provider is 1225548324, enumerated as an "individual" on October 04, 2017.

Where is the provider located?

The provider is located at 7631 212TH ST SW STE 107B EDMONDS, WA 98026 and the phone number is (425) 610-9394.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does Vivaksha Khanduri accept?

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.