Suzanne Marie Seballoz

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

12853 Issued in CO

Practice address

USA Meddac, Evans Army Community Hospital
1650 Cochrean Circle, Attn: Credentials Office
Fort Carson, CO 80913-4604

Phone

(719) 526-7844

Fax

(719) 526-7984

NPI assigned

Jan 18, 2006

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407836307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE",
            "city": "FORT CARSAN",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7844",
            "fax_number": "719-526-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHREAN CIRCLE, ATTN: CREDENTIALS OFFICE",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7844",
            "fax_number": "719-526-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBALLOZ",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "12853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica R. Schultz Fischer, PH.D.
• Miriam Suzanne Scott, PSY.D.
• Brandi Kristene Sealy, RN
• Elizabeth A Searing, AUD
• Brian Mark Seavey, PSY.D.
• Elizabeth Sebes, PTA
• Mark A Sebes
• Alexandria Sebian, LCSW
• Sean Sedore, DO
• Ashley Seguin

• Licensed Practical Nurse in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.