Healthcare Provider Details

I. General information

NPI: 1235451378
Provider Name (Legal Business Name): ROBINSON GRAY REED MSN CNM ARNP IBCLC
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: ROBIN MARIE GRAY-REED

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MADISON ST STE 700
SEATTLE WA
98104-3599
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-6900
  • Fax:
Mailing address:
  • Phone: 206-320-4476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN60284148
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-17210
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License NumberRN60284148
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN60284148
License Number StateWA
# 5
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60421353
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: