Destiny Ellison

Primary specialty

Respite CareTaxonomy code 385H00000X

Practice address

9715 Labette Dr
Little Rock, AR 72205-6703

Phone

(501) 413-2167

NPI assigned

Oct 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1053285999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 GREEN VALLEY DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144983",
            "telephone_number": "501-413-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 LABETTE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056703",
            "telephone_number": "501-413-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Bryan Ellis, OTR/L
• Rodney Ellis, OBHP
• William Patrick Ellis, PA-C
• Brent Ellison, LPC
• Dale Alicia Ellison, MD
• Ramona Ellison, LADAC
• Jalal Philippe Elmadi-Villeda, MD
• Carlisa Elmore
• Krystal Elmore
• Mohab Abdelhamid Abdelhami Elnashar, M.D

• Respite Care in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Respite Care in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.