Active NPI
Revolution Access LLC
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
National Provider Identifier
1215868351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Reliable Medical Supply
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1427989565
-
- Durable Medical Equipment & Medical Supplies
- Asheville, NC
- NPI 1558919969
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.