Individual provider Active NPI

Kendra Vander Linden, MA, CCC-SLP

  • Speech-Language Pathologist
  • Eden Prairie, MN
National Provider Identifier
1083038988
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8851 Issued in MN
Practice address
7570 Market Place Dr
Eden Prairie, MN 55344-3636
Phone
(952) 944-0240
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8851 MN Primary

Addresses

Primary practice location

7570 Market Place Dr
Eden Prairie, MN 55344-3636

Mailing address

7570 Market Place Dr
Eden Prairie, MN 55344-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy for Me Speech-Language Pathologist CurrentSince Jan 8, 2023 Accepting new patients

Locations

7624 Executive Dr
Eden Prairie, MN 55344
Phone (952) 944-0240

7570 Market Place Dr
Eden Prairie, MN 55344
Phone (952) 944-0240

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1083038988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 MARKET PLACE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 MARKET PLACE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443636",
            "telephone_number": "952-944-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER LINDEN",
        "first_name": "KENDRA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.