Active NPI
Victoria Ashton Leckich
- Family Nurse Practitioner
- Gulfport, MS
National Provider Identifier
1336057314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 908451
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.