MRS. KEONA E SMITH NURSE PRACTITIONER NPI 1033647144

NPI Information

  • NPI: 1033647144
  • Provider Name: MRS. KEONA E SMITH, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6015 E BROWN RD
    MESA, AZ
    ZIP 85205
  • Phone: (866) 389-2727

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NPI Details

MRS. Keona E Smith, NURSE PRACTITIONER is a family nurse practitioner in Mesa, AZ with 9 years of experience. MRS. Keona E Smith, NURSE PRACTITIONER NPI is 1033647144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6015 E BROWN RD
MESA, AZ
ZIP 85205-452
Phone: (866) 389-2727

The NPI 1033647144 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2017 and was last updated on 11/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2017015826MISSOURINo
2207Q00000XFamily MedicineAPRN-213691MONTANANo
3207Q00000XFamily MedicineAPRN-4030HAWAIINo
4207Q00000XFamily Medicine10022091OREGONNo
5207Q00000XFamily Medicine207307ALASKANo
6207Q00000XFamily Medicine11227MINNESOTANo
7207Q00000XFamily Medicine13280148-4UTAHNo
8207Q00000XFamily Medicine209027284ILLINOISNo
9207Q00000XFamily Medicine95025330CALIFORNIANo
10363LF0000XNurse PractitionerFamily253724ARIZONAYes
11207Q00000XFamily Medicine72170NEW MEXICONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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