Active NPI
Laurie A. Siddall, FNP
- Family Medicine Physician
- Newton, IA
National Provider Identifier
1003842592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 268471-22
- 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.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
Hospital
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
Hospital
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
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
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
- Mercyone Des Moines Medical Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050616000219 | IA | Practitioner - Nurse Practitioner | 8820032295 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268471-22 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Clinic PC | Family Medicine | Current | Accepting new patients |
Locations
300 N 4th Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-2112
Interoperability endpoints
- https://api.platform.athenahealth.com/31005/brand/1/csg/1/fhir/r4
- laurie.siddall.1@31005.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 268471-22 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.