Individual provider Active NPI

Colleen Sheehan, NP

  • Adult Health Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1073805180
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95000583 Issued in CA
Practice address
2799 Gateway Dr
Riverside, CA 92507-0908
Phone
(833) 450-5967
NPI assigned
May 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305624 NY
Adult Health Nurse Practitioner 363LA2200X 95000583 CA Primary

Addresses

Primary practice location

2799 Gateway Dr
Riverside, CA 92507-0908

Mailing address

2799 Gateway Dr
Riverside, CA 92507-0908
Phone (833) 450-5967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150107001489 CA Practitioner - Nurse Practitioner 7113240714 Reassigns benefits to 1 organization
I20221123002482 WA Practitioner - Nurse Practitioner 7113240714

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305624NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Healthcare Medical Center Inc CurrentSince Oct 12, 2014 Accepting new patients
Apex Healthcare Medical Center Inc Current Accepting new patients
Apex Healthcare Medical Center Inc CurrentSince Oct 12, 2014 Accepting new patients

Locations

391 N San Jacinto St
Hemet, CA 92543
Phone (909) 929-6003

Interoperability endpoints

  • Direct secure messaging: colleen.sheehan.1@17371.direct.athenahealth.com
  • Direct secure messaging: csheehan@landmarkhealth-direct.org

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": "1304812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1073805180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 GATEWAY DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070908",
            "telephone_number": "833-450-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 GATEWAY DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070908",
            "telephone_number": "833-450-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-08",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305624",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95000583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.