Active NPI
Sarah Ellen Blagg, CCC-SLP
- Speech-Language Pathologist
- Mountain Home, AR
National Provider Identifier
1114125705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2269
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5Y010 | Other | AR | ARKANSAS BLUE CROSS AND BLUE SHIELD |
| 154456721 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2269 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Therapy Group, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Shining Stars Pediatric Therapy, Inc. | Past | 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.
-
- Speech-Language Pathologist
- Mountain Home, AR
- NPI 1730318288
-
- Pediatric Occupational Therapist
- Mountain Home, AR
- NPI 1518370188
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.