Individual provider Active NPI

Christina Benoit, FNP-BC

  • Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1780428896
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2273123 Issued in MA
Practice address
52 Second Ave Ste 4000
Waltham, MA 02451-1156
Phone
(781) 504-9912
NPI assigned
Jun 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 RN2273123 MA
Nurse Practitioner 363L00000X RN2273123 MA Primary

Addresses

Primary practice location

52 Second Ave Ste 4000
Waltham, MA 02451-1156

Mailing address

PO Box 54
Woburn, MA 01801-0054
Phone (781) 504-9912

Other names 1

  • Christina Altavesta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250324002121 MA Practitioner - Nurse Practitioner 0244752897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Medical Group Suburban Massachusetts IncGroup PAC ID 0244133494, shared by 2 NPIs, 534 clinicians

Practice addresses (Care Compare)

133 Littleton Rd
Suite 202
Westford, MA 01886-3198
Phone (978) 577-1946

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2273123MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. CurrentSince Mar 14, 2025 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Mar 14, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 9, 2025 Accepting new patients

Locations

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165

133 Littleton Rd
Ste 202
Westford, MA 01886
Phone (978) 577-1946

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: benoit.christina.mgbcp@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1780428896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018010054",
            "telephone_number": "781-504-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SECOND AVE STE 4000",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511156",
            "telephone_number": "781-504-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2273123",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2273123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ALTAVESTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.