Provider Demographics
NPI:1033315254
Name:REED, KERRY Z (PNP)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:Z
Last Name:REED
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:A
Other - Last Name:ZABRISKIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-493-7000
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:THE CHILDREN'S HOSPITAL
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-6669
Practice Address - Fax:720-777-7277
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0990059-NP363LP0200X
NYF381827363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO62373340Medicaid
COCOA105169Medicare PIN