Organization Active NPI

Frye NP, PLLC

Doing business as Core Vitals Mobile Med & Aesthetics

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1316835085
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
FRYE NP, PLLC
Doing business as
Core Vitals Mobile Med & Aesthetics
Practice address
8670 W Cheyenne Ave Ste 219
Las Vegas, NV 89129-7457
Phone
(725) 910-7186
Fax
(702) 920-8409
NPI assigned
Jun 24, 2025
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Tracy FryeNPI 1164119483
Title
Owner
Phone
(725) 910-1786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NU Primary

Addresses

Primary practice location

8670 W Cheyenne Ave Ste 219
Las Vegas, NV 89129-7457

Mailing address

8670 W Cheyenne Ave Ste 219
Las Vegas, NV 89129-7457
Phone (725) 910-7186

Other names 1

  • Core Vitals Mobile Med & Aesthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260601002625 NV Part B Supplier - Clinic/Group Practice 2769952696 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

7975 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 617-4470

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1316835085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE STE 219",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297457",
            "telephone_number": "725-910-7186",
            "fax_number": "702-920-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE STE 219",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297457",
            "telephone_number": "725-910-7186",
            "fax_number": "702-920-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYE NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-910-1786"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Vitals Mobile Med & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.