Reveal Electrolysis, LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

REVEAL ELECTROLYSIS, LLC

Practice address

1715A N 45TH St
Seattle, WA 98103-6801

Phone

(419) 651-9859

NPI assigned

Jan 21, 2026

Last updated

Jan 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raine Odat

Title

Owner

Phone

(508) 938-9542

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashlyn Kamin, PH.D.

  • Other Specialist/Technologist
  • Seattle, WA
  • NPI 1760332258

  Specialist/Technologist, Other

  NPD

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1841159027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715A N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036801",
            "telephone_number": "419-651-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715A N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036801",
            "telephone_number": "419-651-9859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2714 Eastlake Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981023105",
            "country_code": "US",
            "telephone_number": "419-651-8959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVEAL ELECTROLYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "ODAT",
        "authorized_official_first_name": "RAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-938-9542"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Reuble, LMP
• Mikhaila Barg Reudink, FNP
• Nicholas K Reul, MD, MPH
• Shakunthala Revannagowda, MD
• Anjali Revanur, MD
• Mayra Toscano Reveles
• Geanna N Revell, RDN, CD
• Marci Revelli, MS CCC/SLP
• Roma Moriah Revels, RN
• Reverve LLC (ReVerve Physical Therapy)

• Other Specialist/Technologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Other Specialist/Technologist in Washington

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