Individual provider Active NPI

Benita Altidor, NP-APRN

  • Gerontology Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1194402073
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024187421 Issued in VA
Practice address
101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523
Phone
(833) 510-4357
NPI assigned
Jul 3, 2023
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001308308 VA
Gerontology Nurse Practitioner 363LG0600X 0024187421 VA Primary

Addresses

Primary practice location

101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231128003556 VA Practitioner - Nurse Practitioner 3779931944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

101 N Lynnhaven Rd
Suite 100
Virginia Beach, VA 23452-7523
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001308308VAMDRegistered Nurse
0024187421VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Nov 14, 2023 Accepting new patients
Brightview LLC CurrentSince Nov 14, 2023 Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

209 Research Dr
Ste 102
Chesapeake, VA 23320

516 Innovation Dr
Ste 102
Chesapeake, VA 23320
Phone (757) 382-9400

480 Mount Cross Rd
Danville, VA 24540

5610 Southpoint Centre Blvd
Fredericksburg, VA 22407
Phone (540) 207-5288

16 Pleasant Hill Rd
Harrisonburg, VA 22801
Phone (419) 546-0788

3704 Old Forest Rd
Lynchburg, VA 24501

1836 Virginia Ave
Martinsville, VA 24112
Phone (419) 580-1305

5001 W Village Green Dr
Ste 205
Midlothian, VA 23112
Phone (804) 744-6700

11745 Jefferson Ave
Ste 10B
Newport News, VA 23606
Phone (757) 315-6905

5357 Henneman Dr
Norfolk, VA 23513
Phone (757) 855-9700

4140 Crossings Ct
Ste 101103
Prince George, VA 23875
Phone (757) 695-9406

1345 Plantation Rd NE
Roanoke, VA 24012
Phone (513) 843-7063

2790 Godwin Blvd
Ste 210
Suffolk, VA 23434
Phone (757) 934-3700

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

200 Faraday Plz
Winchester, VA 22603
Phone (724) 466-2434

4899 Prince William Pkwy
Woodbridge, VA 22192

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1194402073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIDOR",
        "first_name": "BENITA",
        "credential": "NP-APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001308308",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024187421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.