Individual provider Active NPI

Benjamin O Linthicum, NP

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1184854291
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004396 Issued in NC
Practice address
1901 Hillandale Rd
Suite D
Durham, NC 27705-2664
Phone
(919) 383-4355
Fax
(919) 382-8791
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 207061 (RN) NC
Family Nurse Practitioner 363LF0000X 5004396 NC Primary

Addresses

Primary practice location

1901 Hillandale Rd
Suite D
Durham, NC 27705-2664

Mailing address

1104 Market Center Dr # 130
Morrisville, NC 27560-7504
Phone (984) 960-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blinthicum32141@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090818000208 NC Practitioner - Nurse Practitioner 9032263579 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207061 (RN)NCMDFamily Nurse Practitioner
5004396NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Oct 3, 2011 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1184854291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MARKET CENTER DR # 130",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607504",
            "telephone_number": "984-960-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HILLANDALE RD",
            "address_2": "SUITE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052664",
            "telephone_number": "919-383-4355",
            "fax_number": "919-382-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTHICUM",
        "first_name": "BENJAMIN",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "207061 (RN)",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blinthicum32141@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1104 Market Center Dr # 130",
            "city": "Morrisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275607504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.