Stacey Lee Head

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1637 Issued in CA

Practice address

2801 Eureka Way
Redding, CA 96001-0222

Phone

(530) 246-9000

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1659112233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIDGETOP DR APT 40",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033282",
            "telephone_number": "530-209-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010222",
            "telephone_number": "530-246-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Ruel Hayward, FNP
• Mark Harold James Hayward
• Aleen Hazelip, RN
• Stachia Leta Hazlet
• Zi Yang He, PHARM.D
• Heal Your Heart Licensed Marriage & Family Therapist, a California Professional Corporation
• Brandi Heald, RDHAP
• Allison C Healey, RD LD CNSC
• Healing Arts Collective
• Healing Roots: Individual, Marriage & Family Therapy, Inc.

• All providers in Redding, CA
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.