MEDICARE: ROBINSON GRAY REED MSN CNM ARNP IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WD0400X	Diabetes Educator Registered Nurse	RN60284148	WA
2	163WL0100X	Lactation Consultant (Registered Nurse)	L-17210	WA
3	163WP1700X	Perinatal Registered Nurse	RN60284148	WA
4	163WM0102X	Maternal Newborn Registered Nurse	RN60284148	WA
5	367A00000X	Advanced Practice Midwife	AP60421353	WA

General Provider Information

NPI Number	:	1235451378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBINSON GRAY REED MSN CNM ARNP IBCLC

Provider Business Mailing Address
First Line	:	PO BOX 25608
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0608
Country	:	US
Telephone Number	:	206-320-4476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 MADISON ST STE 700
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3599
Country	:	US
Telephone Number	:	206-215-6900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2010
Last Update Date	:	06/24/2024

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