Individual provider Active NPI

Brittelle Seaboldt, PHARMD

  • Pharmacist
  • Palisade, CO
National Provider Identifier
1285385682
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0021069 Issued in CO
Practice address
707 Elberta Ave Unit B
Palisade, CO 81526-8806
Phone
(970) 464-5668
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0021069 CO Primary

Addresses

Primary practice location

707 Elberta Ave Unit B
Palisade, CO 81526-8806

Mailing address

707 Elberta Ave Unit B
Palisade, CO 81526-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0021069COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rxplus Limited Palisade LLC CurrentSince Jan 26, 2022 Accepting new patients
Rxplus Limited Palisade LLC CurrentSince Jan 26, 2022 Accepting new patients

Locations

707 Elberta Ave
Unit B
Palisade, CO 81526
Phone (970) 464-5668

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1285385682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ELBERTA AVE UNIT B",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "815268806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ELBERTA AVE UNIT B",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "815268806",
            "telephone_number": "970-464-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABOLDT",
        "first_name": "BRITTELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0021069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisade, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.