Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497728075 Individual Practitioner Female Practitioner

Susan Moore Daubenmire , MA, CCC-SLP

Speech-Language Pathologist • Mooresville, NC

Professional Overview & Biography Verified Profile Summary

Susan Daubenmire, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mooresville, NC. Practice services are available at 111 KILSON DR STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Kilson Dr Ste 104

Mooresville, NC 281178218

Telephone 9803170985

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mooresville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
116 Specialists

Practicing in Mooresville, NC (7242 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NC 6744

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7412339 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jessica Dortch , CCC, SLP

Speech-Language Pathologist

NPI 1194467845

Certificate of Clinical Competence, Speech-Language Pathologist

NPI 1306653183

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Ying Liu , SLP

Speech-Language Pathologist

NPI 1790106144

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 13, 2025

Registered at 111 KILSON DR STE 104, MOORESVILLE, NC 281178218 (Tel: 9803170985)

📍
Updated Business Mailing Address December 13, 2025

Registered at 143 CODDLE WAY, MOORESVILLE, NC 281159714 (Tel: 7046078252)

📍
Updated Practice Location June 25, 2024

Registered at 3369 DEAL RD, MOORESVILLE, NC 281154259 (Tel: 7046078252)

📍
Updated Business Mailing Address June 25, 2024

Registered at 3369 DEAL RD, MOORESVILLE, NC 281154259 (Tel: 7046078252)

👤
Provider Name / Credentials Updated June 25, 2024

Recorded as SUSAN DAUBENMIRE, MA, CCC-SLP

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 510 CARPENTER AVE, MOORESVILLE, NC 281152512 (Tel: 7046078252)

📍
Updated Business Mailing Address July 08, 2007

Registered at 510 CARPENTER AVE, MOORESVILLE, NC 281152512 (Tel: 7046078252)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN MOORE, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #6744 in NC)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497728075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: December 13, 2025
Sole Proprietor: Yes

Mailing Address

143 Coddle Way

Mooresville, NC 281159714

Phone: 7046078252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.