Active NPI
Asia Blackwell, SLP
- Speech-Language Pathologist
- Randallstown, MD
National Provider Identifier
1477079929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202012499
- Practice address
- 3916 Roxanne Rd
Randallstown, MD 21133-4025 - Phone
- (443) 682-5580
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202012499 | VA | Primary |
| Speech-Language Pathologist | 235Z00000X | 08410 | MD |
Addresses
Primary practice location
3916 Roxanne Rd
Randallstown, MD 21133-4025
Mailing address
3916 Roxanne Rd
Randallstown, MD 21133-4025
Phone (443) 682-5880
Other practice location 1
2500 Wallington Way Ste 103
Marriottsville, MD 21104-1506
Phone (410) 442-9791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210114001662 | MD | Practitioner - Qualified Speech Language Pathologist | 0345653242 | Reassigns benefits to 2 organizations |
| I20260611003608 | VA | Practitioner - Qualified Speech Language Pathologist | 0345653242 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08410 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech Cove LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Proactive Therapy, LLC | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Randallstown, MD
- NPI 1265046429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1477079929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 ROXANNE RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334025",
"telephone_number": "443-682-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3916 ROXANNE RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334025",
"telephone_number": "443-682-5580"
}
],
"practiceLocations": [
{
"address_1": "2500 Wallington Way Ste 103",
"address_purpose": "LOCATION",
"city": "Marriottsville",
"state": "MD",
"postal_code": "211041506",
"country_code": "US",
"telephone_number": "410-442-9791",
"fax_number": "410-442-9783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKWELL",
"first_name": "ASIA",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012499",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08410",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.