Sarah Michelle Blalock

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA14749 Issued in AZ

Practice address

4825 W Camelback Rd
Phoenix, AZ 85031-1414

Phone

(623) 204-3234

NPI assigned

Jun 11, 2024

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1790527638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14899 W HILLSIDE ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958215",
            "telephone_number": "623-204-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311414",
            "telephone_number": "623-204-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyanna Leigh Blake, R.T.(R)
• Brooke Mackenzie Blakeman, M.ED., BCBA, LBA
• Doris Blakes-Greenway, ED.D.,OTRL
• Rachel Ewing Blakey, OT
• Jessica Blakley, DO
• Carol Blanc, OTR/L CDRS
• Amanda Apodaca Blancas, FNP-C, PMHNP-BC
• Glenda Martyne Blanchard, N.P.
• Kristin Noel Blanchard, MS CCC-SLP
• Valeria Noemi Blanco

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.