Active NPI
Rhonda Jo Ravani, ARNP
- Specialist
- Issaquah, WA
National Provider Identifier
1154303667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AP30004254
- Practice address
- 450 NW Gilman Blvd
#203
Issaquah, WA 98027-2483 - Phone
- (425) 454-3938
- Fax
- (425) 837-1460
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AP30004254 | WA | Primary |
Addresses
Primary practice location
450 NW Gilman Blvd
#203
Issaquah, WA 98027-2483
Mailing address
1135 116TH Ave NE
#500
Bellevue, WA 98004-4623
Phone (425) 454-3938
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9621525 | Medicaid | WA | |
| 121963 | Other | WA | LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004254 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154303667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 116TH AVE NE",
"address_2": "#500",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044623",
"telephone_number": "425-454-3938",
"fax_number": "425-454-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NW GILMAN BLVD",
"address_2": "#203",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272483",
"telephone_number": "425-454-3938",
"fax_number": "425-837-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVANI",
"first_name": "RHONDA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "AP30004254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9621525",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "121963",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.