Individual provider Active NPI

Katherine Wainright Hall, DNP, APRN, FBP-BC

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1679492508
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95040578 Issued in CA
Practice address
3969 4TH Ave Ste 203
San Diego, CA 92103-3165
Phone
(619) 294-6500
NPI assigned
Jul 14, 2026
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95040578 CA Primary

Addresses

Primary practice location

3969 4TH Ave Ste 203
San Diego, CA 92103-3165

Mailing address

4847 Parks Ave Apt 24
La Mesa, CA 91942-8666

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4847 Parks Ave
Apt 24
La Mesa, CA 91942-8602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95040578CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicus MD Inc CurrentSince Jul 15, 2026 Accepting new patients
Scripps Health PastSince Jul 15, 2026 Accepting new patients

Locations

3969 4th Ave
Ste 203
San Diego, CA 92103
Phone (619) 294-6500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1679492508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 PARKS AVE APT 24",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 4TH AVE STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033165",
            "telephone_number": "619-294-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATHERINE",
        "middle_name": "WAINRIGHT",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, FBP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95040578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.