Provider Demographics
NPI:1235451378
Name:REED, ROBINSON GRAY (MSN CNM ARNP IBCLC)
Entity type:Individual
Prefix:
First Name:ROBINSON
Middle Name:GRAY
Last Name:REED
Suffix:
Gender:X
Credentials:MSN CNM ARNP IBCLC
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:MARIE
Other - Last Name:GRAY-REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-4476
Mailing Address - Fax:
Practice Address - Street 1:1101 MADISON ST STE 700
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3599
Practice Address - Country:US
Practice Address - Phone:206-215-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60284148163WD0400X, 163WP1700X, 163WM0102X
WAL-17210163WL0100X
WAAP60421353367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WP1700XNursing Service ProvidersRegistered NursePerinatal
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn