Individual provider

Kierstin Lealiiee

Family Medicine Physician Medical Physician Assistant Medicare enrolled

Kierstin Lealiiee is a Family Medicine Physician in Gold Canyon, AZ, registered under NPI 1124644182. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 6410 S KINGS RANCH RD STE 1, Gold Canyon, AZ 85118. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6410 S KINGS RANCH RD STE 1, Gold Canyon, AZ 85118 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
10838 AZ Family Medicine Physician primary
PA2437 NV Medical Physician Assistant
11959125-1206 UT Medical Physician Assistant

Licences are recorded in 3 states: AZ, NV, UT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Ophthalmology
PAC ID
1254751043

Medicare enrolment is recorded as approved under the provider type Practitioner - Ophthalmology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Arizona, Nevada and Utah. The practice address on file is in Gold Canyon, AZ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona practice address
Licence
10838
Specialty
Family Medicine Physician
Verify with the AZ board →
NV Nevada
Licence
PA2437
Specialty
Medical Physician Assistant
Verify with the NV board →
UT Utah
Licence
11959125-1206
Specialty
Medical Physician Assistant
Verify with the UT board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 10838 AZ primary
363AM0700X Medical Physician Assistant Medical PA2437 NV
363AM0700X Medical Physician Assistant Medical 11959125-1206 UT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124644182 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 24, 2020
Last updatedFeb 17, 2025
StatusActive
Sole proprietorYes
Practice address 6410 S KINGS RANCH RD STE 1
Gold Canyon, AZ 85118
(480) 761-2500
Fax (480) 288-2879
Mailing address 219 N 2940 E
St George, UT 84790
This record was updated on Feb 17, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124644182 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 6 4 4 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 3 4 8 1 7

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124644182?
NPI 1124644182 is the National Provider Identifier assigned to Kierstin Lealiiee in Gold Canyon, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
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.
How do I contact Kierstin Lealiiee?
The phone number on file with NPPES is (480) 761-2500, last updated Feb 17, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kierstin Lealiiee accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124644182 a valid number?
Yes. 1124644182 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.