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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MR. ETHAN REVELS
NPI 1578486155
Student in an Organized Health Care Education/Training Program in Charleston, SC

Active since July 31, 2026
15102 SWEET PL, CHARLESTON, SC 29492(704) 689-3747 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ethan Revels NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ETHAN REVELS (NPI 1578486155) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1578486155
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ETHAN REVELS
Location Address15102 SWEET PLCharleston, SC 29492-2831
Mailing Address15102 Sweet PlCharleston, SC 29492-2831 · (704) 689-3747
Phone(704) 689-3747
Sole ProprietorNo
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1578486155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
15102 SWEET PL, Charleston, SC 29492
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Revels's NPI number?

The NPI number for Ethan Revels is 1578486155. It was assigned to this individual provider in the NPPES registry on July 31, 2026.

Where is Ethan Revels located?

Ethan Revels practices at 15102 Sweet Pl, Charleston, SC 29492. The listed phone number is (704) 689-3747.

What is Ethan Revels's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Revels was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.