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NPISignal

Individual Healthcare Provider

Kierstin Lealiiee

NPI Record: ActiveFamily Medicine
NPI1124644182
Gold Canyon, Arizona

Provider's NPPES record last updated: February 17, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1124644182
Primary Specialty
Family Medicine
Practice Location
Gold Canyon, Arizona
Sole Proprietor
Yes

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 identified

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 18, 2026, 1:03 AM 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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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
  • Physician Assistant

    Medical

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363AM0700X

Provider-Reported License Information

Family Medicine (Arizona)
10838
Physician Assistant (Nevada)
PA2437
Physician Assistant (Utah)
11959125-1206
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

6410 S Kings Ranch Rd Ste 1

Gold Canyon, Arizona 85118-7352

Phone: (480) 761-2500

Additional Practice Location

3760 E Leah Ln

Gilbert, Arizona 85234-0023

Phone: (602) 489-1313

Additional Practice Location

617 E Riverside Dr Ste 101

St George, Utah 84790-8720

Phone: (435) 628-4507

Record Information

Enumeration Date
June 24, 2020
Provider's NPPES Record Last Updated
February 17, 2025
Certification Date
February 17, 2025
NPISignal NPPES Dataset
August 2026

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