Individual provider Active NPI

Tiffany Lynn Frye, D.O.

  • Pediatrics Physician
  • Burney, CA
National Provider Identifier
1285927509
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB12377500 Issued in NJ
Practice address
37491 Enterprise Dr
Burney, CA 96013-4379
Phone
(309) 999-0305
NPI assigned
May 19, 2011
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB12377500 NJ Primary
Pediatrics Physician 208000000X A-1815-14 NM

Addresses

Primary practice location

37491 Enterprise Dr
Burney, CA 96013-4379

Mailing address

37491 Enterprise Dr
Burney, CA 96013-4379
Phone (530) 999-9030

Other practice location 1

856 S White Horse Pike Unit 2
Hammonton, NJ 08037-2032
Phone (609) 704-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211027001793 CA Practitioner - Pediatric Medicine 7012134950 Reassigns benefits to 1 organization
I20250108003592 NJ Practitioner - Pediatric Medicine 7012134950 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Mar 1, 2025 Accepting new patients
Mayers Memorial Hospital District Current Accepting new patients
Mountain Valleys Health Centers CurrentSince Jul 24, 2021 Accepting new patients
Mountain Valleys Health Centers Current Accepting new patients
Advocare, LLC Pediatrics CurrentSince Mar 1, 2025 Accepting new patients
Mountain Valleys Health Centers CurrentSince Jul 24, 2021 Accepting new patients
Advocare , LLC Past Accepting new patients

Locations

554-850 Medical Center Dr
Bieber, CA 96009
Phone (530) 294-5629

37491 Enterprise Dr
Burney, CA 96013
Phone (530) 335-5457

610 W 3rd St
Dorris, CA 96023
Phone (530) 397-8411

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

856 S White Horse Pike
Unit 2
Hammonton, NJ 08037
Phone (609) 704-8848

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

123 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 227-5437

Interoperability endpoints

  • Direct secure messaging: tiffany.frye@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1285927509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37491 ENTERPRISE DR",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134379",
            "telephone_number": "530-999-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37491 ENTERPRISE DR",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134379",
            "telephone_number": "309-999-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 S White Horse Pike Unit 2",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080372032",
            "country_code": "US",
            "telephone_number": "609-704-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB12377500",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "A-1815-14",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burney, CA

Sources for this page

Verify at the official NPI Registry.