Active NPI
Way of Light Love
- Community Health Worker
- Redding, CA
National Provider Identifier
1265153969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091733 | Other | CA | WOLLCARE COMMUNITY HEALTH NETWORK |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychologist
- Redding, CA
- NPI 1942921697
-
- Ph.D. Medical Genetics
- Redding, CA
- NPI 1538880661
Community Health Worker
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.