Active NPI
Katherin Adriana Sonneborn, PA
- Physician Assistant
- Exeter, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA101126
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3097987 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 100
- 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.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002511 | CT | MD | Clinical Psychologist |
| 1029 | NH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physicians, LLC | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | 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
- ksonneborn507244@direct.bilh.masshiway.net
- 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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Family Medicine Physician
- Exeter, NH
- NPI 1336330588
-
- Family Medicine Physician
- Manchester, NH
- NPI 1386697803
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.