Individual provider Active NPI

Catherine Tong, NP

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1801192711
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024151393 Issued in VA
Practice address
3027 Javier Rd
Fairfax, VA 22031-4652
Phone
(703) 573-6400
Fax
(703) 641-5821
NPI assigned
Feb 10, 2011
Last updated
Feb 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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 0024151393 VA Primary

Addresses

Primary practice location

3027 Javier Rd
Fairfax, VA 22031-4652

Mailing address

3027 Javier Rd
Fairfax, VA 22031-4652
Phone (703) 573-6400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516001532 DC Practitioner - Nurse Practitioner 4082837166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare of Fairfax PCGroup PAC ID 8921286717, 2 clinicians

Practice addresses (Care Compare)

3025 Hamaker CT
Suite 350
Fairfax, VA 22031-2243
Phone (703) 573-6400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024151393VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare of Fairfax PC CurrentSince Mar 1, 2014 Accepting new patients

Locations

3025 Hamaker Ct
Ste 350
Fairfax, VA 22031
Phone (703) 573-6400

Organizations & group practices 1

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1801192711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 JAVIER RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314652",
            "telephone_number": "703-573-6400",
            "fax_number": "703-641-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 JAVIER RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314652",
            "telephone_number": "703-573-6400",
            "fax_number": "703-641-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "CATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024151393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.