Ilsa Christine Waterman, AGPCNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.1001312-NP Issued in CO

Practice address

750 Warner Dr
Golden, CO 80401-5297

Phone

(303) 925-4380

NPI assigned

Oct 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1639047053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 S NORSE CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286475",
            "telephone_number": "573-337-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WARNER DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015297",
            "telephone_number": "303-925-4380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S Routt St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282354",
            "country_code": "US",
            "telephone_number": "303-925-4380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2578 S Norse Ct",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802286475",
            "country_code": "US",
            "telephone_number": "573-337-4077 x74077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "ILSA",
        "middle_name": "CHRISTINE",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.1001312-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Josetta Ward, PHARM.D.
• Todd David Ward, PT
• Heidi Lynn Warner, PA-C
• Lisa Menconi Warren, PA
• Olivia Waszczuk, OTR
• Jennifer Unger Waters, DDS
• Michael Patton Watkins, PHYSICIAN ASSISTANT
• Robert Watterson, MPH, MA, LPCC
• Kara Watts-Schroeder, LCSW
• Mary A Weaver

• Nurse Practitioner in Golden, CO
• Providers in Golden, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.