Ethan Revis, DO
NPI 1699616714 · Student in an Organized Health Care Education/Training Program · Lexington, KY
Ethan Revis, DO is a Student in an Organized Health Care Education/Training Program provider in Lexington, KY (NPI 1699616714).
Provider details
- NPI number
- 1699616714
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Ethan Revis's NPI number?
- Ethan Revis's National Provider Identifier (NPI) is 1699616714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Revis's specialty?
- Ethan Revis is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Ethan Revis located?
- Ethan Revis's practice location on file with NPPES is 245 Fountain Ct Ste 215, Lexington, KY 40509-2792.
- What is Ethan Revis's phone number?
- The practice phone number listed in the NPPES registry for Ethan Revis is (859) 323-6861.
- Is Ethan Revis's NPI active?
- Yes — Ethan Revis's NPI (1699616714) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.