Active NPI
Iuka Family Clinic LLC
- Family Nurse Practitioner
- Iuka, MS
National Provider Identifier
1265384192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- IUKA FAMILY CLINIC LLC
- Practice address
- 302 Kaki St
Iuka, MS 38852-1197 - Phone
- (662) 423-3662
- Fax
- (662) 423-2509
- NPI assigned
- Feb 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Trickey, FNP-C
- Title
- Owner/Authorized Official
- Phone
- (662) 424-2316
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
302 Kaki St
Iuka, MS 38852-1197
Mailing address
302 Kaki St
Iuka, MS 38852-1117
Phone (662) 423-3662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
302 Kaki St
Iuka, MS 38852
Phone (601) 423-3662
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1265384192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 KAKI ST",
"city": "IUKA",
"state": "MS",
"postal_code": "388521117",
"telephone_number": "662-423-3662",
"fax_number": "662-423-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 KAKI ST",
"city": "IUKA",
"state": "MS",
"postal_code": "388521197",
"telephone_number": "662-423-3662",
"fax_number": "662-423-2509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IUKA FAMILY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-12",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "TRICKEY",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "662-424-2316",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.