Individual provider Active NPI

Manisha Ramdev, NP-C

  • Family Nurse Practitioner
  • Woodinville, WA
National Provider Identifier
1417525734
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05210666 Issued in WA
Practice address
14040 NE 181St St Ste 1000
Woodinville, WA 98072-4373
Phone
(425) 483-1777
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05210666 WA Primary

Addresses

Primary practice location

14040 NE 181St St Ste 1000
Woodinville, WA 98072-4373

Mailing address

23753 76TH Ave W
Edmonds, WA 98026-8807
Phone (206) 618-4692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05210666WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dhirendra MD PLLC CurrentSince Aug 25, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1417525734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23753 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268807",
            "telephone_number": "206-618-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 NE 181ST ST STE 1000",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724373",
            "telephone_number": "425-483-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMDEV",
        "first_name": "MANISHA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "F05210666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.