Individual provider Active NPI

Fri Jilla Longtchi, FNP-BC

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1427319870
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1004464 Issued in DC
Practice address
1605 Kenilworth Ave NE
Washington, DC 20019-2010
Phone
(410) 299-3828
Fax
(202) 803-2340
NPI assigned
Jun 1, 2012
Last updated
Jun 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1004464 DC Primary

Addresses

Primary practice location

1605 Kenilworth Ave NE
Washington, DC 20019-2010

Mailing address

1605 Kenilworth Ave NE
Washington, DC 20019-2010
Phone (410) 299-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151125000368 MD Practitioner - Nurse Practitioner 1254631120 Reassigns benefits to 3 organizations
I20161123000424 DC Practitioner - Nurse Practitioner 1254631120 Reassigns benefits to 3 organizations
I20161123000937 VA Practitioner - Nurse Practitioner 1254631120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852-1133
Phone (301) 424-0658

Merit-based Incentive Payment System (MIPS)

Final score
53.05 of 100Reported as group
Quality
49.52
Promoting interoperability
0
Improvement activities
40
Cost
77.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1004464DCMDFamily Nurse Practitioner
R162583MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Sep 21, 2016 Accepting new patients
CRH MD Management LLC CurrentSince Nov 6, 2023 Accepting new patients
Inova Health Care Services CurrentSince Sep 21, 2016 Accepting new patients
CRH MD Management LLC CurrentSince Nov 6, 2023 Accepting new patients
CRH MD Management, LLC CurrentSince Nov 6, 2023 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

19825 Frederick Rd
Germantown, MD 20876
Phone (240) 801-9944

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 11

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": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1427319870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "410-299-3828",
            "fax_number": "202-803-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "410-299-3828",
            "fax_number": "202-803-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGTCHI",
        "first_name": "FRI",
        "middle_name": "JILLA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1004464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.