Individual provider Active NPI

Victoria Ashton Leckich

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1336057314
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
908451 Issued in MS
Practice address
4300 15TH St
Gulfport, MS 39501-2524
Phone
(228) 868-6300
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 908451 MS Primary

Addresses

Primary practice location

4300 15TH St
Gulfport, MS 39501-2524

Mailing address

4300 15TH St
Gulfport, MS 39501-2524
Phone (228) 868-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1336057314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-868-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-868-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKICH",
        "first_name": "VICTORIA",
        "middle_name": "ASHTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "908451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.