Individual provider Active NPI

Tiffany Robin Remillard, APRN

  • Family Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1902566854
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016560 Issued in FL
Practice address
1400 N US Highway 441 Ste 540
Lady Lake, FL 32159-8987
Phone
(352) 753-9777
Fax
(866) 446-1888
NPI assigned
Dec 20, 2021
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11016560 FL Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 540
Lady Lake, FL 32159-8987

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

601 E Dixie Ave Ste 1001
Leesburg, FL 34748-7309
Phone (352) 787-9448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240904002858 FL Practitioner - Nurse Practitioner 4981144029 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services, PLLC CurrentSince Dec 8, 2024 Accepting new patients
Fakhoury Medical & Chiropractic Center PLLC CurrentSince Jul 1, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Feb 18, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Feb 18, 2025 Accepting new patients

Locations

601 E Dixie Ave
Ste 1001
Leesburg, FL 34748
Phone (352) 787-9448

1009 SW 17th St
Ocala, FL 34471
Phone (352) 351-3413

1630 SE 18th St
Ste 602
Ocala, FL 34471
Phone (352) 369-0181

4945 SW 49th Pl
Ocala, FL 34474
Phone (352) 237-9430

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

1400 N US Highway 441
Ste 540
The Villages, FL 32159
Phone (352) 561-3290

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1902566854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 540",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "352-753-9777",
            "fax_number": "866-446-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Dixie Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487309",
            "country_code": "US",
            "telephone_number": "352-787-9448",
            "fax_number": "352-787-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "TIFFANY",
        "middle_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.