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BAILEY FREDENBURG
NPI 1205504040
Licensed Vocational Nurse in Tyler, TX

Active since September 04, 2021
9846 HWY 31 E, TYLER, TX 75705(903) 592-8001 Get Directions Write a Review

NPPES record last updated: September 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bailey Fredenburg NPPES

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

BAILEY FREDENBURG (NPI 1205504040) is an individual licensed vocational nurse in Tyler, Texas, licensed in Texas (352178) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1205504040
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameBAILEY FREDENBURG
Location Address9846 HWY 31 ETyler, TX 75705-2329
Mailing Address9846 Hwy 31 ETyler, TX 75705-2329
Phone(903) 592-8001
Sole ProprietorNo
Enumeration DateSeptember 4, 2021
NPPES CertifiedSeptember 4, 2021
✔ NPI 1205504040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 352178
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
9846 HWY 31 E, Tyler, TX 75705
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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.

DOROTHY D CARD
Specialist/Technologist (Speech-Language Assistant)
9846 HWY 31 E
TYLER, TX 75705
Smith County (903) 525-8001
BROOKE HERLOCKER
Licensed Vocational Nurse
9846 HWY 31 E
TYLER, TX 75705
Smith County (903) 592-8001
SHELBY OWENS
Specialist/Technologist (Speech-Language Assistant)
9846 HWY 31 E
TYLER, TX 75705
Smith County (903) 525-3714
ROBBIE DYE
Licensed Vocational Nurse
9846 HWY 31 E
TYLER, TX 75705
Smith County (903) 592-8001
ASHIA PEREZ
Speech-Language Pathologist
9846 HWY 31 E
TYLER, TX 75705
Smith County (903) 525-3801
STARLA TAYLOR
Registered Nurse
9846 HWY 31 E
TYLER, TX 75705
Smith County (903) 592-8001
STEPHANIE BUCKMASTER
Licensed Vocational Nurse
9846 HWY 31 E
TYLER, TX 75705
Smith County (903) 525-3714
KELSI LAROE
Licensed Vocational Nurse
9846 HWY 31 E
TYLER, TX 75705
Smith County (903) 592-8001

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 Bailey Fredenburg's NPI number?

The NPI number for Bailey Fredenburg is 1205504040. It was assigned to this individual provider in the NPPES registry on September 4, 2021.

Where is Bailey Fredenburg located?

Bailey Fredenburg practices at 9846 Hwy 31 E, Tyler, TX 75705. The listed phone number is (903) 592-8001.

What is Bailey Fredenburg's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Bailey Fredenburg was last updated on September 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.