Active NPI
Kristal Jackson
- Adult Companion
- Little Rock, AR
National Provider Identifier
1477466969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 925261151
- Practice address
- 502 Baywood Dr
Little Rock, AR 72211-2981 - Phone
- (501) 349-6555
- NPI assigned
- Sep 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 925261151 | AR | Primary |
Addresses
Primary practice location
502 Baywood Dr
Little Rock, AR 72211-2981
Mailing address
502 Baywood Dr
Little Rock, AR 72211-2981
Phone (501) 349-6555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1477466969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 BAYWOOD DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112981",
"telephone_number": "501-349-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 BAYWOOD DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112981",
"telephone_number": "501-349-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "KRISTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "AR",
"license": "925261151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.