Organization Active NPI

Way of Light Love

  • Community Health Worker
  • Redding, CA
National Provider Identifier
1265153969
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
WAY OF LIGHT LOVE
Practice address
14740 Bass Dr SPC 8
Redding, CA 96003-8403
Phone
(619) 738-4017
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Dr. Tasheda J Leonard-Hayselden, MD, PSYD
Title
Ceo
Phone
(619) 738-4017

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Lodging Provider 177F00000X
Pharmacist 183500000X
Family Medicine Physician 207Q00000X
Clinical Genetics (M.D.) Physician 207SG0201X
Case Management Agency 251B00000X
Community Health Worker 172V00000X Primary
Meals Provider 174200000X
Independent Medical Examiner Physician 202C00000X
Peer Specialist 175T00000X

Addresses

Primary practice location

14740 Bass Dr SPC 8
Redding, CA 96003-8403

Mailing address

14740 Bass Dr SPC 8
Redding, CA 96003-8403
Phone (619) 738-4017

Other identifiers 1

IdentifierTypeStateIssuer
0091733OtherCAWOLLCARE COMMUNITY HEALTH NETWORK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1265153969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 BASS DR SPC 8",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960038403",
            "telephone_number": "619-738-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 BASS DR SPC 8",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960038403",
            "telephone_number": "619-738-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY OF LIGHT LOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "LEONARD-HAYSELDEN",
        "authorized_official_first_name": "TASHEDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-738-4017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOLLCARE COMMUNITY HEALTH NETWORK",
            "identifier": "0091733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.