Timothy Shawn Colley, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95026617 Issued in CA

Practice address

14472 Wicks Blvd
San Leandro, CA 94577-6712

Phone

(510) 568-6161

NPI assigned

Nov 3, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Royal Ambulance, LLC

  • Land Ambulance
  • San Leandro, CA
  • NPI 1225176050
  NPD (past)

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764460800000",
    "number": "1457220840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14472 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776712",
            "telephone_number": "510-568-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14472 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776712",
            "telephone_number": "510-568-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Alpine Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964445",
            "country_code": "US",
            "telephone_number": "925-464-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "TIMOTHY",
        "middle_name": "SHAWN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-30",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026617",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "584131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cohen
• Rachael Suzanne Cole
• Camisha Coleman-Killens
• Dione Coleman, C.N.M.
• Lawrence Coley
• Robyn Janine Collignon
• Anne E Collins
• Brianna Collins
• Lashonda Collins
• Maria Louise Collins, MSW

• Family Nurse Practitioner in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.