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DIANE TACKIE GRANILLO, LLC
NPI 1972393171
Physician Assistant - Medical in Rockville, MD

Active since May 09, 2025
1395 PICCARD DR STE 200, ROCKVILLE, MD 20850(202) 951-7942(202) 971-1991 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2026, Oct 7, 2025, Jun 4, 2025 and 1 more (4 updates tracked since 2025).

About Diane Tackie Granillo, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE TACKIE GRANILLO, LLC (NPI 1972393171) is a healthcare organization registered as a medical in Rockville, Maryland and active in the NPI registry since May 2025. The organization maintains 2 additional practice locations and lists Diane Tackie Granillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1972393171
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameDIANE TACKIE GRANILLO, LLC
Location Address1395 PICCARD DR STE 200Rockville, MD 20850-4348
Mailing Address1395 Piccard Dr Ste 200Rockville, MD 20850-4348 · (202) 951-7942 · Fax (202) 971-1991
Phone(202) 951-7942
Fax(202) 971-1991
Organization SubpartNo
Authorized OfficialDiane Tackie GranilloOwner · (202) 951-7942
Enumeration DateMay 9, 2025
Last NPPES UpdateMarch 19, 20264 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1972393171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1395 PICCARD DR STE 200, Rockville, MD 20850
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Secondary Practice Locations 2

Location 140 York Rd Ste 110Towson, MD 21204-5243 · Phone (202) 951-7942 · Fax (202) 971-1991
Location 21100 H St NW Ste 1100Washington, DC 20005-5967 · Phone (202) 951-7942 · Fax (202) 971-1991

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE ADAKU TACKIE PA-C
Physician Assistant (Medical)
1395 PICCARD DR STE 200
ROCKVILLE, MD 20850
Montgomery County (202) 951-7942
WE CARE HOME HEALTH SERVICES, INC.
In Home Supportive Care
1395 PICCARD DR STE 200
ROCKVILLE, MD 20850
Montgomery County (301) 820-8381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Tackie Granillo, LLC's NPI number?

The NPI number for Diane Tackie Granillo, LLC is 1972393171. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Diane Tackie Granillo, LLC located?

Diane Tackie Granillo, LLC is located at 1395 Piccard Dr Ste 200, Rockville, MD 20850. The listed phone number is (202) 951-7942.

What is Diane Tackie Granillo, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Diane Tackie Granillo, LLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.