Individual provider Active NPI

Kathrine Kemp, RN, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1316615313
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018497 Issued in CA
Practice address
3580 Fifth Ave FL 2
San Diego, CA 92103-5017
Phone
(619) 516-8931
Fax
(833) 687-1695
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 224087 LA
Registered Nurse 163W00000X 224087 LA
Registered Nurse 163W00000X 95201309 CA
Family Nurse Practitioner 363LF0000X 95018497 CA Primary

Addresses

Primary practice location

3580 Fifth Ave FL 2
San Diego, CA 92103-5017

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other identifiers 1

IdentifierTypeStateIssuer
95018497OtherCAAPRN, RN, AND FURNISHING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://nhchc.org/st-vincent-de-paul-village-family-health-center/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024003253 CA Practitioner - Nurse Practitioner 9032505375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 Imperial Ave
San Diego, CA 92101-7638

8390 Champions Gate Blvd
Suite 220
Champions Gate, FL 33896-8310

PO Box
Suite 5426
Portland, OR 97228-5426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
224087LAMDRegistered Nurse
95018497CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathrine.kemp.1@26356.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1316615313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 FIFTH AVE FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035017",
            "telephone_number": "619-516-8931",
            "fax_number": "833-687-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "KATHRINE",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224087",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "224087",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95201309",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN, RN, AND FURNISHING LICENSE",
            "identifier": "95018497",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nhchc.org/st-vincent-de-paul-village-family-health-center/",
            "affiliation": "N",
            "address_1": "1501 Imperial Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921017638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.