Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Misty Blaylock, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1821597006

Misty Blaylock, MA, CCC-SLP is a Qualified Speech Language Pathologist in Berea, Kentucky. Qualified in 2009, 17 years ago. Practices with Empowerme Rehabilitation Kentucky, LLC, a 107-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
17
Licensed in
KY
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1043 Brooklyn Blvd
Berea, KY 40403-1090
Phone: (859) 228-0551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 138621 (KY)

Record details

NPI number1821597006
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 2, 2018
Last updated in NPPESFebruary 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Empowerme Rehabilitation Kentucky, Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Berea