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LYNN MICHELE HENDRICKSON-ANDRES MS, CCC-SLP
NPI 1306375860
Speech-Language Pathologist in Roseville, CA

Active since June 08, 2017
588 N SUNRISE AVE STE 100, ROSEVILLE, CA 95661(916) 865-1130(916) 732-8857 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2026, Jun 8, 2017 (2 updates tracked since 2017).

About Lynn Michele Hendrickson-andres Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNN MICHELE HENDRICKSON-ANDRES MS, CCC-SLP (NPI 1306375860) is an individual speech-language pathologist provider in Roseville, California, licensed in California (13031) and active in the NPI registry since June 2017. She maintains a secondary practice location in Sacramento and is a graduate of Other (2001).

NPPES Registry Identity

NPI1306375860
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLYNN MICHELE HENDRICKSON-ANDRESCredential: MS, CCC-SLP
Location Address588 N SUNRISE AVE STE 100Roseville, CA 95661-2843
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 865-1130
Fax(916) 732-8857
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 8, 2017
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1306375860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 13031
Definition
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.
588 N SUNRISE AVE STE 100, Roseville, CA 95661
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Other Names 1

Other Name (5)Lynn Michele Hendrickson Ms, Ccc-slp

Secondary Practice Location 1

Location 11337 Howe Ave Ste 107Sacramento, CA 95825-3305 · Phone (916) 564-5010 · Fax (916) 564-5260

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynn Michele Hendrickson-andres Ms, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931674959
PECOS Enrollment IDI20260407003882

Medicare Billing Reassignment

Medicare enrollment records show Lynn Hendrickson-andres reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Medical Foundation
11 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETT PINKNEY P.T.
Physical Therapist
588 N SUNRISE AVE STE 100
ROSEVILLE, CA 95661
Placer County (916) 782-7848
MS. PAYAL VELJI KARIA DPT
Physical Therapist
588 N SUNRISE AVE STE 100
ROSEVILLE, CA 95661
Placer County (916) 782-7848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynn Hendrickson-andres's NPI number?

The NPI number for Lynn Hendrickson-andres is 1306375860. It was assigned to this individual provider in the NPPES registry on June 8, 2017. The provider is also known as Lynn Michele Hendrickson Ms, Ccc-Slp.

Where is Lynn Hendrickson-andres located?

Lynn Hendrickson-andres practices at 588 N Sunrise Ave Ste 100, Roseville, CA 95661. The listed phone number is (916) 865-1130.

What is Lynn Hendrickson-andres's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lynn Hendrickson-andres enrolled in Medicare?

Yes. Lynn Hendrickson-andres is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lynn Hendrickson-andres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Hendrickson-andres reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lynn Hendrickson-andres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lynn Hendrickson-andres was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.