Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 02, 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
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

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, and ordering and referring status from the CMS PECOS system.

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

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.

Speech-Language Pathologist
3916 ROXANNE RD
RANDALLSTOWN, MD 21133
Speech-Language Pathologist
3916 ROXANNE RD
RANDALLSTOWN, MD 21133

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.

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 53 days 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.