Davonna Whittenburg, RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

117278 Issued in OK

Practice address

300 Ranger Blvd
Roland, OK 74954-4040

Phone

(918) 427-4601

Fax

(918) 427-1785

NPI assigned

Sep 23, 2015

Last updated

Sep 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1356710008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RANGER BLVD",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749544040",
            "telephone_number": "918-427-4601",
            "fax_number": "918-427-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RANGER BLVD",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749544040",
            "telephone_number": "918-427-4601",
            "fax_number": "918-427-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTENBURG",
        "first_name": "DAVONNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "117278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Vanzandt
• Jade Nicole Verge, MS, OTR/L
• Caitlin Elizabeth Waters, APRN-CNP
• Natalie Webb, LPN
• Natalie Jo Weidman, M.S. CCC-SLP
• Laura Elizabeth Williams
• Dalyn Danee Winton, DPH
• April Jean Wofford
• Shawn Wolfe

• Student in an Organized Health Care Education/Training Program in Roland, OK
• Providers in Roland, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.