Individual Healthcare Provider
Kezia Briones, PA-C
Provider's NPPES record last updated: January 24, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1356125553
- Primary Specialty
- Physician Assistant
- Practice Location
- Carbondale, Illinois
- 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, 12:36 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
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (Illinois)
- 085009982
Practice Locations
Practice Location
405 W Jackson St
Carbondale, Illinois 62901-1462
Phone: (618) 549-0721
Additional Practice Location
2601 W Main St
Carbondale, Illinois 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Additional Practice Location
2808 Outer Dr
Marion, Illinois 62959-5207
Phone: (618) 993-3817
Fax: (618) 993-3908
Additional Practice Location
502 W Saint Louis St Ste 4
West Frankfort, Illinois 62896-1968
Phone: (618) 937-3400
Fax: (618) 997-9324
Additional Practice Location
405 Rushing Dr
Herrin, Illinois 62948-3730
Phone: (618) 993-3300
Fax: (618) 993-0262
Additional Practice Location
901 S Commercial St
Harrisburg, Illinois 62946-2640
Phone: (618) 993-3817
Fax: (618) 993-3908
Additional Practice Location
117 E Clark St
Harrisburg, Illinois 62946-2702
Phone: (618) 252-8625
Fax: (618) 351-4859
Record Information
- Enumeration Date
- August 21, 2023
- Provider's NPPES Record Last Updated
- January 24, 2025
- Certification Date
- January 24, 2025
- NPISignal NPPES Dataset
- August 2026
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