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

Clean Slate Nutrition

Organization Registered Dietitian · NPI 1619344157

Clean Slate Nutrition is a Registered Dietitian in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015

Practice location Address checks out

709 N Buchanan St
Little Rock, AR 72205-3264
Phone: (501) 580-0295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1005772 (AR)

Record details

NPI number1619344157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggyc Cosgrove — Dietitian/Owner · (501) 580-0295
Other names Peggy Cosgrove, Ms, Rd, Ld
NPI enumeratedSeptember 1, 2015
Last updated in NPPESSeptember 1, 2015
Mailing address709 N Buchanan St, Little Rock, AR 72205-3264

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