MISTY BLAYLOCK MA, CCC-SLP
NPI 1821597006
Speech-Language Pathologist in Berea, KY

Q: What is Misty Blaylock's NPI number?

The NPI number for Misty Blaylock is 1821597006. It was assigned to this individual provider in the NPPES registry on February 2, 2018. The provider is also known as Misty Parrott Ma, Ccc-Slp.

Q: What is Misty Blaylock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Blaylock was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since February 02, 2018Accepts Medicare Assignment

1043 BROOKLYN BLVD, BEREA, KY 40403(859) 228-0551 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Misty Blaylock Ma, Ccc-slp NPPES

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

MISTY BLAYLOCK MA, CCC-SLP (NPI 1821597006) is an individual speech-language pathologist provider in Berea, Kentucky, licensed in Kentucky (138621) and active in the NPI registry since February 2018. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1821597006

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMISTY BLAYLOCKCredential: MA, CCC-SLP

Location Address1043 BROOKLYN BLVDBerea, KY 40403-1090

Mailing Address1013 Cherry CtRichmond, KY 40475-8902

Phone(859) 228-0551

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateFebruary 2, 2018

✔ NPI 1821597006 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

License✔ Licensed in KY · 138621

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.

1043 BROOKLYN BLVD, Berea, KY 40403

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Other Names 1

Former Name (1)Misty Parrott Ma, Ccc-slp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Misty Blaylock Ma, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325485709

PECOS Enrollment IDI20240320003784

Other Providers at the Same Location NPPES 9

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

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