Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407836307 Individual Practitioner Female Practitioner

Suzanne Marie Seballoz

Licensed Practical Nurse • Fort Carson, CO

Professional Overview & Biography Verified Profile Summary

Suzanne Seballoz is a registered healthcare professional specializing in Licensed Practical Nurse in Fort Carson, CO. Practice services are available at USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Usa Meddac, Evans Army Community Hospital
1650 Cochrean Circle, Attn: Credentials Office

Fort Carson, CO 809134604

Telephone 7195267844
Fax 7195267984
Associated Practice Facility / Clinic
🏢 Jolene J. Sharrett Facility NPI 1033189204

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fort Carson, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Fort Carson, CO (721 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License CO 12853

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Keith Palm , RN

Registered Nurse - Community Health

NPI 1003888629

Registered Nurse

Dr. Jorge Klajnbart , DO

Orthopaedic Surgery

NPI 1003888702

Doctor of Osteopathic Medicine (D.O.)

Dr. Donald Hansen , PharmD

Pharmacist - Pharmacotherapy

NPI 1053381152

Doctor of Pharmacy (Pharm.D.)

Jorge Lopez , PA

Physician Assistant

NPI 1104952209

Physician Assistant

Gregory Robinson , PA

Physician Assistant - Medical

NPI 1114024445

Physician Assistant

Gwen Colon , LPN

Nurse Practitioner

NPI 1124064480

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHREAN CIRCLE, ATTN: CREDENTIALS OFFICE, FORT CARSON, CO 809134604 (Tel: 7195267844)

📍
Updated Business Mailing Address July 08, 2007

Registered at USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE, FORT CARSAN, CO 809134604 (Tel: 7195267844)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUZANNE SEBALLOZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #12853 in CO)

🟢
Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407836307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Credentials Office

Fort Carsan, CO 809134604

Phone: 7195267844

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.