Nicole Renee Christenson, CRNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R120698 Issued in MD

Practice address

3110 Gracefield Rd
Silver Spring, MD 20904-1820

Phone

(301) 572-8340

Fax

(301) 573-8403

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Montgomery Hospice Inc

  • Community Based Hospice Care Agency
  • Rockville, MD
  • NPI 1316909203
  NPD
• Montgomery Hospice Inc.

  • Community Based Hospice Care Agency
  • Rockville, MD
  • NPI 1881803930
  NPD
• Jasmine Chen Gatti MD LLC

  • Family Medicine Physician
  • Bethesda, MD
  • NPI 1699952499
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1104155167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "410-402-2379",
            "fax_number": "410-469-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRACEFIELD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041820",
            "telephone_number": "301-572-8340",
            "fax_number": "301-573-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Muncaster Mill Rd.",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MO",
            "postal_code": "20855",
            "country_code": "US",
            "telephone_number": "240-631-6800",
            "fax_number": "240-631-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2022-03-10",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R120698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799074000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanshan Chow, CRNP
• Jasbir Chowdhary, MD
• Faria Chowdhury
• Nayeema Chowdhury, D.O
• Jean-Paul Chretien
• Kiampi-Diffo Christian
• Henry Chilin Chu, M.D.
• Imran Ahmad Chughtai, PHARMD., BCPS
• Chukwuemeka Onyewu MD PC
• Onyinye Chukwukelo, PHARMD.

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.