Active NPI
Vivaksha Khanduri, DNP, FNP-BC
- Family Nurse Practitioner
- Edmonds, WA
National Provider Identifier
1225548324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60798086
- Practice address
- 7631 212TH St SW Ste 107B
Edmonds, WA 98026-7565 - Phone
- (425) 610-9394
- Fax
- (833) 418-1959
- NPI assigned
- Oct 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60798086 | WA | Primary |
Addresses
Primary practice location
7631 212TH St SW Ste 107B
Edmonds, WA 98026-7565
Mailing address
4580 Klahanie Dr SE # 197
Sammamish, WA 98029-5812
Phone (425) 610-9394
Other practice location 1
700 Murdock St Ste A
Sedro Woolley, WA 98284
Phone (360) 207-1530
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keezer Chiropractic Center | Current | Accepting new patients | |
| Westside Chiropractic Center | Past | Accepting new patients | |
| Premier Diabetes Care, PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Everett, WA
- NPI 1780736116
-
- Adult Health Nurse Practitioner
- Arlington, WA
- NPI 1235696568
-
- Massage Therapist
- Yakima, WA
- NPI 1770955635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1225548324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 KLAHANIE DR SE # 197",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980295812",
"telephone_number": "425-610-9394",
"fax_number": "833-418-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7631 212TH ST SW STE 107B",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267565",
"telephone_number": "425-610-9394",
"fax_number": "833-418-1959"
}
],
"practiceLocations": [
{
"address_1": "700 Murdock St Ste A",
"address_purpose": "LOCATION",
"city": "Sedro Woolley",
"state": "WA",
"postal_code": "98284",
"country_code": "US",
"telephone_number": "360-207-1530",
"fax_number": "833-418-1959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANDURI",
"first_name": "VIVAKSHA",
"name_prefix": "Ms.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60798086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.