Ashli Richardson Vandiver

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

908674 Issued in MS

Practice address

1507 W Quitman St
Iuka, MS 38852-1132

Phone

(662) 423-1000

NPI assigned

Aug 6, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly S Segars MD PC

  • Specialist
  • Iuka, MS
  • NPI 1073566550
  NPD (past)

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1619891306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 POPLAR CIR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388527415",
            "telephone_number": "662-603-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521132",
            "telephone_number": "662-423-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "ASHLI",
        "middle_name": "RICHARDSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "908674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gurley Tomlin
• Sandra Travis, CMHT
• Wendy J. Trickey, MSN, FNP-C
• Deanna Marie Underwood, CCC-SLP
• Jamie Leigh Vanderford, RN
• Larry Keith Vuncannon
• Wal-Mart Stores East LP
• Marcia Lynn Washington
• Wellness & Clinical Solutions LLC
• Abby White, SLP

• Family Nurse Practitioner in Iuka, MS
• Providers in Iuka, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.