Individual provider Active NPI

Christine Marie Longo, DO

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1013437268
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102208415 Issued in VA
Practice address
2987 District Ave Ste 120
Fairfax, VA 22031-1571
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jun 20, 2017
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 1946 NE
Family Medicine Physician 207Q00000X 7934 NE
Family Medicine Physician 207Q00000X 0102208415 VA Primary

Addresses

Primary practice location

2987 District Ave Ste 120
Fairfax, VA 22031-1571

Mailing address

697 Louisiana Rd
Dyess AFB, TX 79607-1141
Phone (325) 696-4677

Other practice location 1

697 Louisiana Rd
Dyess AFB, TX 79607-1141
Phone (253) 696-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004761 DC Practitioner - Family Practice 6002180551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medstar Primary Care LLCGroup PAC ID 0749607307, 140 clinicians

Practice addresses (Care Compare)

1001 G St NW
Suite 200E
Washington, DC 20001-4546
Phone (202) 660-0005

2987 District Ave
Suite 120
Fairfax, VA 22031-1571
Phone (202) 627-1904

601 New Jersey Ave NW
Suite 200
Washington, DC 20001-3030
Phone (202) 660-0005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102208415VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, P.C. Family Medicine PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1013437268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA RD",
            "city": "DYESS AFB",
            "state": "TX",
            "postal_code": "796071141",
            "telephone_number": "325-696-4677",
            "fax_number": "325-696-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2987 DISTRICT AVE STE 120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311571",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "697 Louisiana Rd",
            "address_purpose": "LOCATION",
            "city": "Dyess AFB",
            "state": "TX",
            "postal_code": "796071141",
            "country_code": "US",
            "telephone_number": "253-696-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NE",
            "license": "1946",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7934",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102208415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.