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BRENNA DEDEKER
NPI 1417313859
Speech-Language Pathologist in Oakdale, MN

Active since January 14, 2016
434 HAYWARD AVE N, OAKDALE, MN 55128(651) 739-2300(651) 739-2302 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2021, Nov 15, 2019, Jan 14, 2016 (3 updates tracked since 2016).

About Brenna Dedeker NPPES

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

BRENNA DEDEKER (NPI 1417313859) is an individual speech-language pathologist provider in Oakdale, Minnesota, licensed in Minnesota (9605) and active in the NPI registry since January 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417313859
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBRENNA DEDEKER
Location Address434 HAYWARD AVE NOakdale, MN 55128-5379
Mailing Address434 Hayward Ave NOakdale, MN 55128-5379 · (651) 739-2300 · Fax (651) 739-2302
Phone(651) 739-2300
Fax(651) 739-2302
Sole ProprietorNo
Enumeration DateJanuary 14, 2016
Last NPPES UpdateOctober 7, 20213 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
✔ NPI 1417313859 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 MN · 9605
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.
434 HAYWARD AVE N, Oakdale, MN 55128
Open in Google Maps ↗

Secondary Practice Locations 2

Location 110273 Yellow Circle DrMinnetonka, MN 55343-9144 · Phone (952) 401-9359
Location 25710 Baker RdMinnetonka, MN 55345-5901 · Phone (612) 500-6750

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenna Dedeker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brenna Dedeker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Speech, Language And Learning, Inc.
Same address
Speech-Language Pathologist
434 HAYWARD AVE N
Oakdale, MN 55128
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1164588307 (651) 739-2300

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 20

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

AMANDA LEE POTHEN COTA
Occupational Therapy Assistant
434 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 739-2300
GABRIELLE SAWICKI
Behavior Technician
434 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 739-2300
KAYLEI VON FELDEN
Behavior Technician
434 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 739-2300
RACHAEL LEVAHN
Occupational Therapy Assistant
434 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 739-2300
MADELINE G MCCAULEY
Student in an Organized Health Care Education/Training Program
434 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 739-2300
DELANEY LYNN BUDGE
Occupational Therapy Assistant
434 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 739-2300
SAMANTHA MCGURGAN
Occupational Therapy Assistant
434 HAYWARD AVE N
SAINT PAUL, MN 55128
Washington County (651) 739-2300
OLENA GAVRYLOVA
Behavior Technician
434 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 739-2300

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 Brenna Dedeker's NPI number?

The NPI number for Brenna Dedeker is 1417313859. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Brenna Dedeker located?

Brenna Dedeker practices at 434 Hayward Ave N, Oakdale, MN 55128. The listed phone number is (651) 739-2300.

What is Brenna Dedeker's specialty?

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

Is Brenna Dedeker enrolled in Medicare?

Yes. Brenna Dedeker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenna Dedeker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenna Dedeker reassigns Medicare benefits to Center For Speech, Language And Learning, Inc. (Oakdale, MN). 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 Brenna Dedeker'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 Brenna Dedeker was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.