Individual provider Active NPI

Destini Roland, APRN-C

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1356023576
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225693 Issued in AR
Practice address
8907 Kanis Rd Ste 330
Little Rock, AR 72205-6451
Phone
(501) 224-8810
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 225693 AR Primary

Addresses

Primary practice location

8907 Kanis Rd Ste 330
Little Rock, AR 72205-6451

Mailing address

8907 Kanis Rd Ste 330
Little Rock, AR 72205-6451
Phone (501) 224-8810

Other names 1

  • Destini Farrell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231006002062 AR Practitioner - Nurse Practitioner 9032564398 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Practice addresses (Care Compare)

Hope, AR 71801
Phone (769) 243-6141

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225693ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Palliative Care, LLC CurrentSince Mar 22, 2024 Accepting new patients
Wound Management Specialists, LLC CurrentSince Sep 25, 2024 Accepting new patients
Arkansas Advanced Care, LLC CurrentSince Mar 22, 2024 Accepting new patients
Healthcare Plus Limited Liability Company CurrentSince Nov 1, 2025 Accepting new patients
Dermaccel Family CurrentSince Jan 1, 2025 Accepting new patients
Dermaccel PastSince Aug 17, 2025 Accepting new patients

Locations

1100 S Main St
Hope, AR 71801
Phone (870) 770-4467

14 Parkstone Cir
#C
North Little Rock, AR 72116
Phone (501) 748-3333

14 Parkstone Cir
North Little Rock, AR 72116
Phone (501) 748-3333

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

Interoperability endpoints

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

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1356023576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD STE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056451",
            "telephone_number": "501-224-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD STE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056451",
            "telephone_number": "501-224-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "DESTINI",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "225693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINI",
            "last_name": "FARRELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.