Mirely Baca

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN210337 Issued in AZ

Practice address

3500 S 12TH Ave
Tucson, AZ 85713-5913

Phone

(520) 225-4317

NPI assigned

Oct 13, 2025

Last updated

Oct 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1225904816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E EASTLAND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857197038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S 12TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135913",
            "telephone_number": "520-225-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "MIRELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN210337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth A Babbitt, FNP
• Kaitlyn Marie Latinis Baber
• Justin Ryan Wayne Bablitz, DO
• Chris Babych, DMD
• Babymoon Inn of Tucson, LLC (Babymoon Inn of Tucson)
• Noraida Bacani, FNP
• Amanda S Bacchus-Morris, MD
• Sara Caroline Bach, ATC
• Aimee Gregorie Bachelier, N.D.
• Ronald Derek Bachorski, R.N.

• School Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.