Nicole Christianne Carson, FNP-BC, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

100406 Issued in GU

Practice address

50 Farenholt Ave
Agana Heights, GU 96910

Phone

(671) 344-9222

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1104622646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PALE DE LEON ST",
            "city": "SANTA RITA",
            "state": "GU",
            "postal_code": "969151657",
            "telephone_number": "671-480-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FARENHOLT AVE",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-344-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "NICOLE",
        "middle_name": "CHRISTIANNE",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "100406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Buccine
• Charles Clifton Burroughs, NP
• Sheehan Murphy Byrne, LISW
• Jennifer Cannon, MD
• Ann Carnevale, MD
• Rodger Besley Carter III, DO
• Eunice Joy P Castro, PH.D.
• Rachel D Ceria, RN
• Mercy Chipman, PHARMD
• Christopher Boyd Chisholm, MD

• Family Nurse Practitioner in Agana Heights, GU
• Providers in Agana Heights, GU by specialty
• Family Nurse Practitioner in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.