Waterside Healthcare & Wellness, LLC
NPI 1780223743 · Family Nurse Practitioner · Waconia, MN
Waterside Healthcare & Wellness, LLC is a Family Nurse Practitioner organization in Waconia, MN (NPI 1780223743).
Provider details
- NPI number
- 1780223743
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicole Siddons, Owner of Entity(920) 217-9035
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-12-22
- Last updated
- 2019-12-22
- Certified
- 2019-12-22
Frequently asked questions
- What is Waterside Healthcare & Wellness, LLC's NPI number?
- Waterside Healthcare & Wellness, LLC's National Provider Identifier (NPI) is 1780223743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterside Healthcare & Wellness, LLC?
- Waterside Healthcare & Wellness, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Waterside Healthcare & Wellness, LLC located?
- Waterside Healthcare & Wellness, LLC's practice location on file with NPPES is 212 W Lake St, Waconia, MN 55387-1014.
- What is Waterside Healthcare & Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Waterside Healthcare & Wellness, LLC is (920) 217-9035.
- Who is the authorized official for Waterside Healthcare & Wellness, LLC?
- The authorized official listed on Waterside Healthcare & Wellness, LLC's NPPES record is Nicole Siddons, Owner of Entity. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterside Healthcare & Wellness, LLC's NPI active?
- Yes — Waterside Healthcare & Wellness, LLC's NPI (1780223743) is active in the NPPES registry as of the last update on 2019-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.