IndividualActive
Vivaksha Khanduri, DNP, FNP-BC
NPI 1225548324 · Family Nurse Practitioner · Edmonds, WA
Provider details
- NPI number
- 1225548324
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP60798086 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7631 212th St Sw Ste 107b
Edmonds, WA 98026-7565
Phone: (425) 610-9394
Fax: (833) 418-1959
Street-level locationGet directions
Mailing address
4580 Klahanie Dr Se # 197
Sammamish, WA 98029-5812
Additional practice locations (1)
- 700 Murdock St Ste aSedro Woolley, WA 98284Phone: (360) 207-1530Fax: (833) 418-1959
Registry dates
- Enumerated
- 2017-10-04
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.