Active NPI
Debra J Remillard, PAC
- Dermatology Physician
- Helena, MT
National Provider Identifier
1063510352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 127
- Practice address
- 50 South Last Chance Gulch
Ste 3
Helena, MT 59601-4134 - Phone
- (406) 442-3534
- Fax
- (406) 442-2064
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 127 | MT | Primary |
Addresses
Primary practice location
50 South Last Chance Gulch
Ste 3
Helena, MT 59601-4134
Mailing address
50 South Last Chance Gulch
Ste 3
Helena, MT 59601-4134
Phone (406) 442-3534
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0434809 | Medicaid | MT | |
| 970010030 | Other | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dremillard@directaddress.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127 | MT | MD | Physical Therapist |
Interoperability endpoints
- dremillard@directaddress.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1063510352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SOUTH LAST CHANCE GULCH",
"address_2": "STE 3",
"city": "HELENA",
"state": "MT",
"postal_code": "596014134",
"telephone_number": "406-442-3534",
"fax_number": "406-442-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SOUTH LAST CHANCE GULCH",
"address_2": "STE 3",
"city": "HELENA",
"state": "MT",
"postal_code": "596014134",
"telephone_number": "406-442-3534",
"fax_number": "406-442-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMILLARD",
"first_name": "DEBRA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MT",
"license": "127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0434809",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970010030",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dremillard@directaddress.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "50 South Last Chance Gulch",
"address_2": "Ste 3",
"city": "Helena",
"state": "MT",
"country_code": "US",
"postal_code": "596014134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.