Destanie Paige Nelson, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3712 Issued in AR

Practice address

9720 N Rodney Parham Rd
Little Rock, AR 72227-6212

Phone

(501) 224-6067

NPI assigned

Oct 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• United Cerebral Palsy of Arkansas

  • Occupational Therapist
  • Little Rock, AR
  • NPI 1023130721
  NPD (past)
• United Cerebral Palsy of Arkansas

  • Developmental Disabilities Clinic/Center
  • Little Rock, AR
  • NPI 1215050547
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1962128074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WILLOWBROOK ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719236665",
            "telephone_number": "870-210-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 N RODNEY PARHAM RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722276212",
            "telephone_number": "501-224-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DESTANIE",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvah J Nelson III, M.D.
• Ashlynn Nelson
• Camelle Nelson
• Carla Yvette Nelson, MHPP
• Daniel Nelson, CRNA
• Garland Lynn Nelson
• Garrett James Nelson, M.D.
• Jennifer Cayelynn Nelson, RBT
• Jennifer Dorreen Nelson, LCSW
• Kendell Nelson

• Occupational Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.