SUZANNE MARIE SEBALLOZ (NPI# 1407836307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407836307 |
| Entity Type | Individual |
| Full Name | SUZANNE MARIE SEBALLOZ |
| Practice Address |
Usa Meddac, Evans Army Community Hospital 1650 Cochrean Circle, Attn: Credentials Office Fort Carson CO 80913-4604 |
| Mailing Address |
Usa Meddac, Evans Army Community Hospital 1650 Cochrane Circle, Attn: Credentials Office Fort Carsan CO 80913-4604 |
| Practice Telephone | 7195267844 |
| Practice Fax Number | 7195267984 |
| Mailing Telephone | 7195267844 |
| Mailing Fax Number | 7195267984 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 12853 | CO | Nursing Service Providers |
| Street Address |
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL 1650 COCHREAN CIRCLE, ATTN: CREDENTIALS OFFICE |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699738682 | Frederick Samuel Mechanik | Podiatrist | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-04-10 |
| 1780650580 | Steven Joseph Knorr | Psychiatry & Neurology | Usa Meddac, Evans Army Community Hospital, Department of Behavioral Health, Fort Carson, CO 80913-4604 | 2006-02-23 |
| 1003888629 | Keith Christopher Palm | Registered Nurse | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-02-07 |
| 1639142102 | Timothy G Zoelle | Nurse Anesthetist, Certified Registered | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Creditials Office, Fort Carson, CO 80913-4604 | 2006-02-07 |
| 1558332361 | Kristie Lee Nelson | Emergency Medicine | Usa Meddac, Evans Army Community Hospital, Emergency Department, Fort Carson, CO 80913-4604 | 2006-01-30 |
| 1063482495 | Patrick Michael Casey | Chiropractor | Usa Meddac, Evans Army Community Hospital, Chiropractic Clinic, Fort Carson, CO 80913-4604 | 2006-01-26 |
| 1780655019 | James Richard Fojtek | Physician Assistant | Usa Meddac, Evans Army Community Hospital, Tooele Army Depot, Bldg 400, Fort Carson, CO 80913-4604 | 2006-01-26 |
| 1316917974 | Robert Steven Rudolphi | Internal Medicine | Usa Meddac, Evans Army Community Hospital, Internal Medicine Clinic, Fort Carson, CO 80913-4604 | 2006-01-25 |
| 1992775837 | Anthony Sullivan | Obstetrics & Gynecology | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Dept of Ob/gyn, Fort Carson, CO 80913-4604 | 2006-01-24 |
| 1033189204 | Jolene J. Sharrett | Military Hospital | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134169428 | Floyd Dale Edwards | Licensed Practical Nurse | 1650 Cochrane Cirrcle, Usa Meddac / Evans Army Community Hospital, Fort Carson, CO 80913-4604 | 2006-06-07 |
| 1952341182 | Michelle Rene Owens | Licensed Practical Nurse | General Surgery Clinic, Usa Meddac Evans Army Community Hospital, Fort Carson, CO 80913-4604 | 2006-06-07 |
| 1922147610 | Matthew Craig Larson | Licensed Practical Nurse | 1650 Cochrane Circle, 1cu Usa Meddac Evans Army Community Hospital, Fort Carson, CO 80913-4604 | 2007-02-06 |
| 1679536213 | Debra Sue Mitchell | Licensed Practical Nurse | 1650 Cochrane Cir, Pediatric Clinic, Fort Carson, CO 80913-4603 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741816 | Conny Jones | Licensed Practical Nurse | 4519 Fencer Rd, Colorado Springs, CO 80911-3619 | 2019-10-12 |
| 1851941009 | Debra Fritts | Licensed Practical Nurse | 5700 Dtc Pkwy Ste 170, Greenwood Village, CO 80111-3226 | 2019-09-18 |
| 1699336354 | Sally J Daigle | Licensed Practical Nurse | 3811 S Julian St, Denver, CO 80236-6103 | 2019-06-24 |
| 1083273528 | Kyandra Ogunlowo | Licensed Practical Nurse | 6466 N Espana Ct, Aurora, CO 80019-2169 | 2019-06-09 |
| 1194388827 | Kelly Fitzharris | Licensed Practical Nurse | 9777 S Yosemite St Ste 200, Lone Tree, CO 80124-3115 | 2019-04-18 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1134687676 | Mary Lou Montez | Licensed Practical Nurse | 3501 S. Main St., Lamar, CO 81052 | 2019-03-04 |
| 1356810550 | Roy Jackson Baker | Licensed Practical Nurse | 521 Rowe Ln, Colorado Springs, CO 80911-2624 | 2018-11-16 |
| 1649749847 | Rachel Woodin | Licensed Practical Nurse | 5360 N Academy Blvd Ste 190, Colorado Springs, CO 80918-4006 | 2018-11-16 |
| 1396214607 | Ana M. Sandoval | Licensed Practical Nurse | 6303 Wadsworth Bypass, Suite 100, Arvada, CO 80003 | 2018-11-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.