1. Home
  2. Directory
  3. Maryland
  4. Randallstown
  5. Speech Language Pathologist
  6. NPI Profile

MISS ASIA BLACKWELL SLP
NPI 1477079929
Speech-Language Pathologist in Randallstown, MD

Active since August 16, 2017
3916 ROXANNE RD, RANDALLSTOWN, MD 21133(443) 682-5580 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 28, 2020, Aug 16, 2017 (3 updates tracked since 2017).

About Miss Asia Blackwell Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS ASIA BLACKWELL SLP (NPI 1477079929) is an individual speech-language pathologist provider in Randallstown, Maryland, licensed in Virginia (2202012499) and active in the NPI registry since August 2017. She maintains a secondary practice location in Marriottsville and is a graduate of Other (2016).

NPPES Registry Identity

NPI1477079929
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS ASIA BLACKWELLCredential: SLP
Location Address3916 ROXANNE RDRandallstown, MD 21133-4025
Mailing Address3916 Roxanne RdRandallstown, MD 21133-4025 · (443) 682-5880
Phone(443) 682-5580
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 16, 2017
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1477079929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in VA · 2202012499✔ Licensed in MD · 08410
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3916 ROXANNE RD, Randallstown, MD 21133
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 Wallington Way Ste 103Marriottsville, MD 21104-1506 · Phone (410) 442-9791 · Fax (410) 442-9783

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Asia Blackwell Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345653242
PECOS Enrollment IDI20260611003608

Medicare Billing Reassignments

2

Medicare enrollment records show Asia Blackwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Proactive Therapy, LLC
10 mi
Physical Therapist
1016 BOOTH ST
Baltimore, MD 21223
  • Reassigned Medicare billing, Maryland enrollment
  • 6 clinicians in this Medicare group
NPI 1023040128 (202) 409-9895
Expressable Therapy PC
1,337 mi
Speech-Language Pathologist
7600 CHEVY CHASE DR, BLDG 2 SUITE 300
Austin, TX 78752
  • Reassigned Medicare billing, Maryland and Virginia enrollments
  • 57 clinicians in this Medicare group
NPI 1134875370 (512) 377-6318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAYA BROWN
Speech-Language Pathologist
3916 ROXANNE RD
RANDALLSTOWN, MD 21133
Baltimore County (443) 788-1536
THE SPEECH COVE LLC
Speech-Language Pathologist
3916 ROXANNE RD
RANDALLSTOWN, MD 21133
Baltimore County (443) 682-5880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Asia Blackwell's NPI number?

The NPI number for Asia Blackwell is 1477079929. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Asia Blackwell located?

Asia Blackwell practices at 3916 Roxanne Rd, Randallstown, MD 21133. The listed phone number is (443) 682-5580.

What is Asia Blackwell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Asia Blackwell enrolled in Medicare?

Yes. Asia Blackwell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Asia Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asia Blackwell reassigns Medicare benefits to 2 organizations: Proactive Therapy, LLC (Baltimore, MD) and Expressable Therapy PC (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Asia Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Asia Blackwell was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.