Individual Healthcare Provider
Keona E Smith, NURSE PRACTITIONER
Provider's NPPES record last updated: November 11, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1033647144
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Mesa, Arizona
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 12:54 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Nurse Practitioner (Arizona)
- 253724
- Family Medicine (Missouri)
- 2017015826
- Family Medicine (Montana)
- APRN-213691
- Family Medicine (Hawaii)
- APRN-4030
- Family Medicine (Oregon)
- 10022091
- Family Medicine (Alaska)
- 207307
- Family Medicine (Minnesota)
- 11227
- Family Medicine (Utah)
- 13280148-4
- Family Medicine (Illinois)
- 209027284
- Family Medicine (California)
- 95025330
- Family Medicine (New Mexico)
- 72170
Practice Locations
Practice Location
6015 E Brown Rd
Mesa, Arizona 85205-4452
Phone: (866) 389-2727
Additional Practice Location
4241 Johnny Cake Ridge Rd
Eagan, Minnesota 55122-2235
Phone: (866) 389-2727
Additional Practice Location
11200 Lincoln Hwy
Mokena, Illinois 60448-8208
Phone: (866) 389-2727
Additional Practice Location
45-480 Kaneohe Bay Dr
Kaneohe, Hawaii 96744-2039
Phone: (866) 389-2727
Additional Practice Location
9640 Menaul Blvd Ne
Albuquerque, New Mexico 87112-2217
Phone: (866) 389-2727
Additional Practice Location
2760 Fletcher Pkwy
El Cajon, California 92020-2110
Phone: (877) 389-2727
Additional Practice Location
1150 Baker St
Costa Mesa, California 92626-4111
Phone: (866) 389-2727
Additional Practice Location
7777 S Redwood Rd
West Jordan, Utah 84084-5518
Phone: (866) 389-2727
Additional Practice Location
19353 Victory Blvd
Tarzana, California 91335-6302
Phone: (866) 389-2727
Additional Practice Location
10707 W Camelback Rd
Phoenix, Arizona 85037-5073
Phone: (866) 389-2727
Record Information
- Enumeration Date
- June 2, 2017
- Provider's NPPES Record Last Updated
- November 11, 2025
- Certification Date
- November 11, 2025
- NPISignal NPPES Dataset
- August 2026
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