Individual provider Active NPI

Sarah Ellen Blagg, CCC-SLP

  • Speech-Language Pathologist
  • Mountain Home, AR
National Provider Identifier
1114125705
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2269 Issued in AR
Practice address
100 E 9TH St
Mountain Home, AR 72653-4704
Phone
(870) 404-5870
Fax
(870) 424-3208
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2269 AR Primary

Addresses

Primary practice location

100 E 9TH St
Mountain Home, AR 72653-4704

Mailing address

PO Box 2518
Mountain Home, AR 72654-2518
Phone (870) 404-5870

Other identifiers 2

IdentifierTypeStateIssuer
5Y010OtherARARKANSAS BLUE CROSS AND BLUE SHIELD
154456721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2269ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Therapy Group, LLC Speech-Language Pathologist CurrentSince Nov 7, 2025 Accepting new patients
Shining Stars Pediatric Therapy, Inc. PastSince Nov 7, 2025 Accepting new patients

Locations

100 E 9th St
Mountain Home, AR 72653
Phone (870) 213-6545

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1114125705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2518",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726542518",
            "telephone_number": "870-404-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 9TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534704",
            "telephone_number": "870-404-5870",
            "fax_number": "870-424-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGG",
        "first_name": "SARAH",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS AND BLUE SHIELD",
            "identifier": "5Y010",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154456721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.