Active NPI
Kaitlyn Victoria Mudge, DNP, APRN
- Family Nurse Practitioner
- Chula Vista, CA
National Provider Identifier
1508772369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95040593
- Practice address
- 910 Hale PL Ste 110
Chula Vista, CA 91914-3598 - Phone
- (619) 704-7577
- NPI assigned
- Aug 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95040593 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95040593 | CA | Primary |
Addresses
Primary practice location
910 Hale PL Ste 110
Chula Vista, CA 91914-3598
Mailing address
536 Via de la Valle Unit a
Solana Beach, CA 92075-2484
Phone (619) 704-7577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modena Allergy & Asthma II Inc. | Past | Accepting new patients | |
| Modena Allergy & Asthma Inc. | Past | Accepting new patients |
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.
-
- Allergy & Immunology Physician
- Vista, CA
- NPI 1518836444
-
- Allergy & Immunology Physician
- La Jolla, CA
- NPI 1508527797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1508772369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 VIA DE LA VALLE UNIT A",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920752484",
"telephone_number": "619-704-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 HALE PL STE 110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919143598",
"telephone_number": "619-704-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDGE",
"first_name": "KAITLYN",
"middle_name": "VICTORIA",
"credential": "DNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95040593",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95040593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.