Individual provider Active NPI

Kendall Marie Cederstrom, M.S.

  • Speech-Language Pathologist
  • Minneapolis, MN
National Provider Identifier
1396120572
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9528 Issued in MN
Practice address
420 Deleware Street SE
MMC 106/Mayo B-414 University of Minnesota Health,
Minneapolis, MN 55414
Phone
(612) 273-5961
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 9528 MN Primary

Addresses

Primary practice location

420 Deleware Street SE
MMC 106/Mayo B-414 University of Minnesota Health,
Minneapolis, MN 55414

Mailing address

420 Quinlan Ave N
Lakeland, MN 55043-9494
Phone (651) 245-2676

Other names 1

  • Kendall Marie Sexe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222000494 MN Practitioner - Qualified Speech Language Pathologist 4981985355 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9528MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services CurrentSince Nov 19, 2016 Accepting new patients
Fairview Express Care CurrentSince Nov 19, 2016 Accepting new patients
Healtheast Outpatient Services, LLC Speech-Language Pathologist CurrentSince Jun 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients

Locations

3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701

290 Main St NW
Elk River, MN 55330
Phone (763) 241-5800

8301 Golden Valley Rd
Ste 202
Golden Valley, MN 55427
Phone (763) 257-1114

2945 Hazelwood St
Ste 320
Maplewood, MN 55109
Phone (612) 273-1172

1747 Beam Ave
Maplewood, MN 55109
Phone (651) 326-5444

3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

9220 Bass Lake Rd
Ste 260
New Hope, MN 55428
Phone (763) 533-0363

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3305 Central Park Village Dr
#200
Saint Paul, MN 55121

2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000

3305 Central Park Village Dr
#130
Saint Paul, MN 55121

1570 Beam Ave
Ste 300
Saint Paul, MN 55109
Phone (651) 232-2550

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

9680 Tamarack Rd
Ste 130
Woodbury, MN 55125
Phone (612) 273-1172

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 8

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1396120572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 QUINLAN AVE N",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550439494",
            "telephone_number": "651-245-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELEWARE STREET SE",
            "address_2": "MMC 106/MAYO B-414 UNIVERSITY OF MINNESOTA HEALTH,",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55414",
            "telephone_number": "612-273-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDERSTROM",
        "first_name": "KENDALL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "SEXE",
            "middle_name": "MARIE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.