Organization Active NPI

Revolution Access LLC

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1215868351
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REVOLUTION ACCESS LLC
Doing business as
Reliable Medical Supply
Practice address
6735 Reames Rd Ste 600
Charlotte, NC 28216-2450
Phone
(980) 427-8899
Fax
(866) 594-9353
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kiley Ann Russell
Title
Senior Director
Phone
(629) 252-8211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6735 Reames Rd Ste 600
Charlotte, NC 28216-2450

Mailing address

9495 Winnetka Ave N Ste 200
Brooklyn Park, MN 55445-1706
Phone (763) 255-3800

Other names 1

  • Reliable Medical Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reliable Medical Supply3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6735 Reames Rd
Ste 600
Charlotte, NC 28216
Phone (980) 427-8899

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1215868351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 WINNETKA AVE N STE 200",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451706",
            "telephone_number": "763-255-3800",
            "fax_number": "763-255-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 REAMES RD STE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162450",
            "telephone_number": "980-427-8899",
            "fax_number": "866-594-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KILEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "629-252-8211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.