Clean Slate Nutrition
NPI 1619344157ActiveOrganization· Dietitian, Registered· Little Rock, AR
Dietitian, Registered in Little Rock, Arkansas, registered in NPPES in September 2015. The authorized official on file is Peggyc Cosgrove, MS, RD, LD, Dietitian/Owner.
Overview
| NPI | 1619344157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2015 |
| Last updated in NPPES | Sep 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1005772 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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