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Diane Tackie Granillo, LLC

Medical Physician Assistant in Rockville, MD · enumerated 2025 · authorized official Diane Tackie Granillo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972393171

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Registry record

Entity type Organization (Type 2)
Legal business name Diane Tackie Granillo, LLC
Practice address 1395 Piccard Dr Ste 200, Rockville, MD, 20850
Fax (202) 971-1991
Enumeration date May 9, 2025
Last updated in NPPES Mar 19, 2026

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Diane Tackie Granillo
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Diane Tackie Granillo, LLC?
NPPES lists Diane Tackie Granillo (Owner) as the authorized official for this organization.
What is the NPI number for Diane Tackie Granillo, LLC?
The NPI for Diane Tackie Granillo, LLC is 1972393171, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-19.