Active NPI
Kathleen Elizabeth Sonnen, PA
- Physician Assistant
- Nampa, ID
National Provider Identifier
1215501564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2258
- Practice address
- 1200 Garrity Blvd
Nampa, ID 83687-3402 - Phone
- (208) 343-6458
- Fax
- (208) 343-5031
- NPI assigned
- May 19, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2258 | ID | Primary |
Addresses
Primary practice location
1200 Garrity Blvd
Nampa, ID 83687-3402
Mailing address
1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-6458
Other practice location 1
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
Other practice location 2
2235 E Gala St
Meridian, ID 83642-8026
Phone (208) 695-2107
Other practice location 3
9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2000
Other practice location 4
425 W Bannock St
Boise, ID 83702-6035
Phone (208) 695-2107
Other practice location 5
520 S Eagle Rd
Meridian, ID 83642-6351
Phone (208) 706-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2235 E Gala St
Meridian, ID 83642-8026
Phone (208) 489-1431
425 W Bannock St
Boise, ID 83702-6035
Phone (208) 489-1431
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- St Luke'S Nampa Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2258 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Idaho Health Partners LLC | 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.
-
- Gastroenterology Physician
- Boise, ID
- NPI 1265427256
-
- General Practice Physician
- Meridian, ID
- NPI 1952701401
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1215501564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 GARRITY BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836873402",
"telephone_number": "208-343-6458",
"fax_number": "208-343-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 GARRITY BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836873402",
"telephone_number": "208-343-6458",
"fax_number": "208-343-5031"
}
],
"practiceLocations": [
{
"address_1": "190 E Bannock St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837126241",
"country_code": "US",
"telephone_number": "208-381-2222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2235 E Gala St",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836428026",
"country_code": "US",
"telephone_number": "208-695-2107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9850 W St Lukes Dr",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877912",
"country_code": "US",
"telephone_number": "208-505-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 W Bannock St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837026035",
"country_code": "US",
"telephone_number": "208-695-2107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 S Eagle Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426351",
"country_code": "US",
"telephone_number": "208-706-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONNEN",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "2258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.