Blaine Yarbrough, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1100 Division St Ste 3
Prairie Grove, AR 72753-5501

Phone

(479) 334-0014

Fax

(479) 334-0013

NPI assigned

Sep 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• All About Therapy, LLC

  • Clinic/Center
  • Prairie Grove, AR
  • NPI 1548807944
  NPD

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1205507688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 DIVISION ST STE 3",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727535501",
            "telephone_number": "479-334-0014",
            "fax_number": "479-334-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 DIVISION ST STE 3",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727535501",
            "telephone_number": "479-334-0014",
            "fax_number": "479-334-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "BLAINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HE DOES NOT HAVE ANY OTHER NUMBERS YET",
            "identifier": "0000000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@allabouttherapy.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "1100 Division St Ste 3",
            "city": "Prairie Grove",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727535501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• St. Francis House Nwa, Inc.
• Sterling Drug Company
• The Ray Dae
• Wal-Mart Stores Inc
• Amanda Walls, PHD, NTP
• Lesli A Zorn, CERTIFIED BIRTH DOUL

• Speech-Language Pathologist in Prairie Grove, AR
• Providers in Prairie Grove, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.