Meredith Revan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

216278 Issued in SC

Practice address

120 Hancock Ave
Spartanburg, SC 29302-4611

Phone

(864) 680-7624

NPI assigned

Jan 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1306382247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HANCOCK AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024611",
            "telephone_number": "864-680-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HANCOCK AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024611",
            "telephone_number": "864-680-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVAN",
        "first_name": "MEREDITH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "216278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Markley Renner, DO
• James Norman Rentz Sr., LMFT
• Kaitlin Elizabeth Resch, MS, ATC, LAT
• Kimberly Lynnette Restrepo
• Phillip Brent Reustle, PA-C
• Griffin Revell, DMD
• Annie Dahena Rexha
• Gabriella Reyes, MD
• Jessica Leigh Reynolds, M.D.
• Savannah Jo Reynolds, D.D.S

• Registered Nurse in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.