ILSA CHRISTINE WATERMAN AGPCNP
NPI 1639047053
Nurse Practitioner in Golden, CO

Q: What is Ilsa Waterman's NPI number?

The NPI number for Ilsa Waterman is 1639047053. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Q: What is Ilsa Waterman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ilsa Waterman was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2025

750 WARNER DR, GOLDEN, CO 80401(303) 925-4380 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ilsa Christine Waterman Agpcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILSA CHRISTINE WATERMAN AGPCNP (NPI 1639047053) is an individual nurse practitioner in Golden, Colorado, licensed in Colorado (APN.1001312-NP) and active in the NPI registry since October 2025. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639047053

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameILSA CHRISTINE WATERMANCredential: AGPCNP

Location Address750 WARNER DRGolden, CO 80401-5297

Mailing Address2578 S Norse CtLakewood, CO 80228-6475 · (573) 337-4077

Phone(303) 925-4380

Sole ProprietorNo

Enumeration DateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1639047053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CO · APN.1001312-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

750 WARNER DR, Golden, CO 80401

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Secondary Practice Locations 2

Location 12578 S Norse CtLakewood, CO 80228-6475 · Phone (573) 337-4077 ext. 74077

Location 2255 S Routt St Ste 300Lakewood, CO 80228-2354 · Phone (303) 925-4380

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAROLINE S GUILLEBAUD MD

Family Medicine