Tina M C Remillard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA030346 Issued in DC

Practice address

1701 14TH St NW
Washington, DC 20009-4308

Phone

(202) 745-6171

Fax

(202) 745-0238

NPI assigned

Apr 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whitman-Walker Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1184616617
  Medicare reassignment NPD
• Whitman-Walker Clinic Inc.

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1003316316
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1396707444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 DALE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104217",
            "telephone_number": "301-920-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094308",
            "telephone_number": "202-745-6171",
            "fax_number": "202-745-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "TINA",
        "middle_name": "M C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030346",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "011002084",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliance Sleep and Diagnostic Centers PC
• Megan Remener
• Shon Anthony Remich, MD
• Jill Remick, MD
• Emily Rose Remillard, LGPC
• Alexandra Remond
• Alexis Remshak, AUD
• Remtun Pharmaceuticals Inc
• Dennis Ren, MD
• Jenny Li Ren

• Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.