Active NPI
Timothy Hickey, FNP-C
- Family Nurse Practitioner
- Oakland, CA
National Provider Identifier
1346706256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95009481
- Practice address
- 3232 Elm St Ste a
Oakland, CA 94609-3050 - Phone
- (510) 869-8920
- NPI assigned
- Feb 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95009481 | CA | Primary |
Addresses
Primary practice location
3232 Elm St Ste a
Oakland, CA 94609-3050
Mailing address
3232 Elm St Ste a
Oakland, CA 94609-3050
Phone (510) 869-8920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- timothy.hickey.p32@direct.medcor.nextgenshare.com
- thickey663987@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1346706256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 ELM ST STE A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093050",
"telephone_number": "510-869-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 ELM ST STE A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093050",
"telephone_number": "510-869-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "TIMOTHY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-15",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95009481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.