Individual provider Active NPI

Laurie A. Siddall, FNP

  • Family Medicine Physician
  • Newton, IA
National Provider Identifier
1003842592
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
268471-22 Issued in IA
Practice address
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Phone
(641) 792-2112
Fax
(641) 792-8484
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Clinic PC 21 clinicians

Practice addresses (Care Compare)

300 N 4TH Ave E
Suite 200
Newton, IA 50208-3122
Phone (641) 792-2112

Hospital & facility affiliations

  • Mercyone Newton Medical Center Hospital, Newton, IA, CCN 160032
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000219 IA Practitioner - Nurse Practitioner 8820032295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
268471-22IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Clinic PC Family Medicine CurrentSince Sep 13, 1996 Accepting new patients

Locations

300 N 4th Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-2112

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/31005/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laurie.siddall.1@31005.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 268471-22 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155

Mailing address

300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Phone (641) 792-2112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003842592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "address_2": "SUITE 200",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-792-2112",
            "fax_number": "641-792-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "address_2": "SUITE 200",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-792-2112",
            "fax_number": "641-792-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDALL",
        "first_name": "LAURIE",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "268471-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.