EXCLUDEDPROVIDER
Individual Revocation

Keisha Renee Johnson

Jonesboro, AR 72404

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Keisha Renee Johnson of Jonesboro, AR is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of November 20, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Jonesboro, AR 72404
Exclusion date
November 20, 2016
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Keisha Renee Johnson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Jonesboro, Arkansas. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is November 20, 2016, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateNovember 20, 2016
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Jonesboro, AR 72404. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Jonesboro, AR

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Jonesboro, AR address.

Carmelita M Mccullum Individual Program Crime
Jonesboro, AR · Conviction of program-related crimes · Excluded Mar 2026
Spencer Deral Jr Smith Individual Program Crime
Jonesboro, AR · Conviction of program-related crimes · Excluded Aug 2025
Chavelia R Mccullum Individual Program Crime
Jonesboro, AR · Conviction of program-related crimes · Excluded Aug 2025
Gabriel Fortenberry Individual Patient Abuse
Jonesboro, AR · Conviction relating to patient abuse or neglect · Excluded May 2025
Tiffany Marie Murray Individual Program Crime
Jonesboro, AR · Conviction of program-related crimes · Excluded Sep 2024
Early Lee Jr Knox Individual Patient Abuse
Jonesboro, AR · Conviction relating to patient abuse or neglect · Excluded Aug 2024
Tammi Renee Ivy Individual Program Crime
Jonesboro, AR · Conviction of program-related crimes · Excluded Jun 2024
Patrice L Oliver Individual Program Crime
Jonesboro, AR · Conviction of program-related crimes · Excluded Apr 2023

See all 36 excluded providers in Jonesboro →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

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