Brooke Lauren Frederick-Baca, DNP, PMHNP, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

242311 Issued in AZ

Practice address

4764 E Sunrise Dr # 1038
Tucson, AZ 85718-4535

Phone

(520) 703-6415

NPI assigned

Sep 2, 2021

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1871261842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4764 E SUNRISE DR # 1038",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184535",
            "telephone_number": "520-703-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 E SUNRISE DR # 1038",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184535",
            "telephone_number": "520-703-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK-BACA",
        "first_name": "BROOKE",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "AZ",
            "license": "242311",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "242311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Mitchell Frazier, PHARMD
• Joe Frazier
• Keyaira Nicole Frazier
• Sarah Frazier, R.N.
• Frederick a Kreuzer MD PC
• Christy Fredericks, RN
• Deborah Frederique, NP
• Daniel Joseph Fredman, M.D.
• Katheryn Fredman
• Tobias Freebourn, M.D.

• Psychiatric/Mental Health Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric/Mental Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.