OrganizationActive
Clean Slate Nutrition
NPI 1619344157 · Registered Dietitian · Little Rock, AR
Provider details
- NPI number
- 1619344157
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Peggyc Cosgrove, Dietitian/Owner(501) 580-0295
- License
- 1005772 (AR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
709 N Buchanan St
Little Rock, AR 72205-3264
Phone: (501) 580-0295
Street-level locationGet directions
Mailing address
709 N Buchanan St
Little Rock, AR 72205-3264
Other names (DBA / former)
- Other name
- Peggy Cosgrove, Ms, Rd, Ld
Registry dates
- Enumerated
- 2015-09-01
- Last updated
- 2015-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.