Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Tackett, RD

Individual provider Registered Dietitian · NPI 1083498463

Jordan Tackett, RD is a Registered Dietitian OR Nutrition Professional in Little Rock, Arkansas. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

14004 Hilaro Springs Rd
Little Rock, AR 72206
Phone: (501) 860-1015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1875 (AR)

Record details

NPI number1083498463
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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