Brenda Audrey Baca

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPS5146 Issued in AZ

Practice address

321 W. Juniper St
Gilbert, AZ 85233

Phone

(480) 892-2805

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346305299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961016",
            "telephone_number": "480-545-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W. JUNIPER ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-892-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "BRENDA",
        "middle_name": "AUDREY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPS5146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "638710",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Nyawira Baaru, NURSE
• Troy Robert Babel, PT
• Aynsley Danielle Babinski, PSY.D.
• Louise M. Baca Eller, PH.D.
• Breanna Baca, PHARM D
• Backfit Chiropractic & Rehab II
• Backfit Gilbert PLLC
• Ambuga Badari, MD
• Karen Marie Bader, M.D.
• Taylor C Baggs, PA-C

• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.