Individual provider Active NPI

Olivia Clemo Remillard, CPNP-PC, CPNP-AC

  • Pediatric Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1871462812
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
015653 Issued in CT
Practice address
747 Belden Ave
Norwalk, CT 06850-3348
Phone
(877) 925-3637
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 015653 CT
Pediatric Nurse Practitioner 363LP0200X 015653 CT Primary

Addresses

Primary practice location

747 Belden Ave
Norwalk, CT 06850-3348

Mailing address

5146 Skyline Dr
Syracuse, NY 13215-2446
Phone (571) 531-0057

Other practice location 1

5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 261-7262

Other practice location 2

1 Long Wharf Dr
New Haven, CT 06511-5991
Phone (877) 925-3637

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
015653CTMDCritical Care Pediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1871462812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 SKYLINE DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152446",
            "telephone_number": "571-531-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BELDEN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503348",
            "telephone_number": "877-925-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066113463",
            "country_code": "US",
            "telephone_number": "203-261-7262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Long Wharf Dr",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065115991",
            "country_code": "US",
            "telephone_number": "877-925-3637",
            "fax_number": "203-688-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "OLIVIA",
        "middle_name": "CLEMO",
        "name_prefix": "Miss",
        "credential": "CPNP-PC, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "CT",
            "license": "015653",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "015653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.