Individual provider Active NPI

Akima Dara Haile

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1114650686
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
.F348760 Issued in NY
Practice address
1199 E 53Rd St Apt 2a
Brooklyn, NY 11234-2346
Phone
(134) 726-1800
NPI assigned
Jul 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X .F348760 NY Primary

Addresses

Primary practice location

1199 E 53Rd St Apt 2a
Brooklyn, NY 11234-2346

Mailing address

1199 E 53Rd St Apt 2a
Brooklyn, NY 11234-2346
Phone (134) 726-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260120002697 NY Order and Referring Only - Nurse Practitioner 0446737506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.F348760NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1114650686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 E 53RD ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342346",
            "telephone_number": "134-726-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 E 53RD ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342346",
            "telephone_number": "134-726-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILE",
        "first_name": "AKIMA",
        "middle_name": "DARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": ".F348760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.