Individual provider Active NPI

Katherin Adriana Sonneborn, PA

  • Physician Assistant
  • Exeter, NH
National Provider Identifier
1881901718
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA101126 Issued in MA
Practice address
3 Alumni Dr Ste 301
Exeter, NH 03833-2123
Phone
(603) 775-7405
Fax
(603) 775-7424
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1029 NH
Physician Assistant 363A00000X PA101126 MA Primary

Addresses

Primary practice location

3 Alumni Dr Ste 301
Exeter, NH 03833-2123

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 775-7405

Other practice location 1

100 Hitchcock Way
Dartmouth Hitchcock - General Surgery
Manchester, NH 03104
Phone (603) 695-2722

Other practice location 2

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000

Other identifiers 1

IdentifierTypeStateIssuer
3097987MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140728001523 NH Practitioner - Physician Assistant 6406035831 Reassigns benefits to 3 organizations
I20250731002546 MA Practitioner - Physician Assistant 6406035831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002511CTMDClinical Psychologist
1029NHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians, LLC CurrentSince Jul 28, 2014 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jul 7, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 14, 2015 Accepting new patients
General Hospital Corp Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 14, 2015 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

62 13th St
Charlestown, MA 02129
Phone (617) 724-4260

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

3 Alumni Dr
Ste 201
Exeter, NH 03833
Phone (603) 772-5528

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

Interoperability endpoints

  • Direct secure messaging: ksonneborn507244@direct.bilh.masshiway.net
  • Direct secure messaging: sonneborn.katherin.mgh@direct.partners.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1881901718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND WAY FL 1",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332997",
            "telephone_number": "603-775-7405",
            "fax_number": "603-775-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ALUMNI DR STE 301",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332123",
            "telephone_number": "603-775-7405",
            "fax_number": "603-775-7424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hitchcock Way",
            "address_2": "Dartmouth Hitchcock - General Surgery",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "03104",
            "country_code": "US",
            "telephone_number": "603-695-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONNEBORN",
        "first_name": "KATHERIN",
        "middle_name": "ADRIANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "1029",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA101126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097987",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.