Susan Mollman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2168 Issued in KY

Practice address

410 Shannon Dr
Edgewood, KY 41017-3353

Phone

(859) 653-0284

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susan J Lother Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Qualified Speech Language Pathologist

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1063841682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SHANNON DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173353",
            "telephone_number": "859-653-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SHANNON DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173353",
            "telephone_number": "859-653-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLMAN",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES KY LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9251 Stonestreet Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402722858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LOTHER",
            "middle_name": "J",
            "credential": "MS, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Jourdan Mitchell
• Mark Alan Modlin, M.S.
• Stephen G Moeller, MD
• Danielle Mokas, RBT
• John Jarred Molitoris, M.D.
• Jessica Mollmann, APRN
• Sean Thomas Molloy, APRN
• Delia G Monroe, ARNP-C
• Corinne Lenore Moore, PA-C
• Daniel Moore, CRNA

• Speech-Language Pathologist in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.