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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: August 16, 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
Open in Google Maps ↗

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivaksha Khanduri's NPI number?

The NPI number for Vivaksha Khanduri is 1225548324. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Vivaksha Khanduri located?

Vivaksha Khanduri practices at 7631 212th St SW Ste 107B, Edmonds, WA 98026. The listed phone number is (425) 610-9394.

What is Vivaksha Khanduri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Vivaksha Khanduri accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Vivaksha Khanduri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivaksha Khanduri was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.