Aileen M Waters, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

003058 Issued in CO

Practice address

350 S Kendall St
Lakewood, CO 80226

Phone

(303) 596-8993

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• City Park Family Practice PC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1780610428
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1689727216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S KENDALL ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263403",
            "telephone_number": "303-596-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S KENDALL ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-596-8993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4803 Ward Rd",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800331902",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S Kendall St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "80226",
            "country_code": "US",
            "telephone_number": "303-596-8993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "AILEEN",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "95412",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "003058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "018159",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11556269",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Samuel Warner
• Laura Carolyn Warner, M.D.
• Makenzie Warner
• Kylee Wasechek, RN
• Linwood Daniel Washington, BA
• Cameron Mark Waters, DDS
• Karin Emilyq Waters
• Sarah Waters, DDS
• Anne Marie Watson
• Kennedy Watson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.