Individual provider Active NPI

Davina Whitehurst, APRN

  • Gerontology Nurse Practitioner
  • Canton, OH
National Provider Identifier
1639533433
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0038411 Issued in OH
Practice address
236 3Rd St SW
Canton, OH 44702-1607
Phone
(330) 754-4431
Fax
(330) 244-8839
NPI assigned
Apr 7, 2016
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0000629C-NP CO
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.0038411 OH Primary
Gerontology Nurse Practitioner 363LG0600X AP130182 TX

Addresses

Primary practice location

236 3Rd St SW
Canton, OH 44702-1607

Mailing address

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

Other practice location 1

1880 Office Club Pt Ste 100
Colorado Springs, CO 80920-5012
Phone (719) 471-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, VA, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20161005002444 TX Practitioner - Nurse Practitioner 3779871827 Reassigns benefits to 1 organization
I20231206002672 DC Practitioner - Nurse Practitioner 3779871827 Reassigns benefits to 1 organization
I20240105004044 VA Practitioner - Nurse Practitioner 3779871827 Reassigns benefits to 1 organization
I20250416003334 OH Practitioner - Nurse Practitioner 3779871827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Care Providers, LLCGroup PAC ID 1850437948, 40 clinicians
Skill Doc 101 LLCGroup PAC ID 1658509369, 34 clinicians

Practice addresses (Care Compare)

1691 Queens Gate Cir
Cuyahoga Falls, OH 44221-5542
Phone (330) 940-3000

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

635 N Huntington St
Medina, OH 44256-1871
Phone (330) 591-2777

73 E Ave
Tallmadge, OH 44278-2349
Phone (330) 247-1875

9500 Broadview Rd
Broadview Heights, OH 44147-2302
Phone (440) 596-3047

970 Sumner Pkwy
Copley, OH 44321-1693
Phone (330) 664-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038411OHMDGerontology Nurse Practitioner
AP130182TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skill Doc 101, LLC CurrentSince Jul 29, 2025 Accepting new patients
Pinnacle Care Providers, LLC Gerontology CurrentSince Mar 12, 2025 Accepting new patients
Consonant Healing Medical Associates Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Consonant Healing Associates of de LLC Nurse Practitioner CurrentSince May 9, 2023 Accepting new patients

Locations

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

11750 Klinger Ave NE
Alliance, OH 44601
Phone (330) 823-8263

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 364-9023

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1639533433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 Office Club Pt Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809205012",
            "country_code": "US",
            "telephone_number": "719-471-0727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "DAVINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0000629C-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0038411",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP130182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.