Provider Demographics
NPI:1679450472
Name:POWELL, AKILAH RASHIDA
Entity type:Individual
Prefix:
First Name:AKILAH
Middle Name:RASHIDA
Last Name:POWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 BAITING PLACE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-6247
Mailing Address - Country:US
Mailing Address - Phone:646-593-5657
Mailing Address - Fax:
Practice Address - Street 1:171 BAITING PLACE RD
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-6247
Practice Address - Country:US
Practice Address - Phone:646-593-5657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338610164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse