Tahirah A Hakim-Ackerman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

687357 Issued in NY

Practice address

133 N 22ND St
Wyandanch, NY 11798-2103

Phone

(631) 671-3124

NPI assigned

Mar 2, 2011

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tahirah A Hakim Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blessed Healthcare and Staffing Agency

  • Nursing Care Agency
  • Lindenhurst, NY
  • NPI 1215262936
  NPD (past)

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1700184603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N 22ND ST",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982103",
            "telephone_number": "631-671-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N 22ND ST",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982103",
            "telephone_number": "631-671-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM-ACKERMAN",
        "first_name": "TAHIRAH",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301490",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "687357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAHIRAH",
            "last_name": "HAKIM",
            "middle_name": "A",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grass Roots Realty LLC (Grass Roots Transportation)
• Latrisha Greer, RN
• Harrison Grimm, MSW
• Preetika Gupta
• Angel Guyton
• Kyana Taje Hall-Toney
• Syed Mohammad Ziaul Haque, PHARMACIST
• Andrew Hardawayzeigler, RN
• Samoya Henry, LMSW, ED.D
• David Scott Holtzman, LMSW

• Registered Nurse in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.