Diane Tackie Granillo, LLC
NPI 1972393171 · Medical Physician Assistant · Rockville, MD
Diane Tackie Granillo, LLC is a Medical Physician Assistant organization in Rockville, MD (NPI 1972393171).
Provider details
- NPI number
- 1972393171
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Diane Tackie Granillo, Owner(202) 951-7942
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1100 H St Nw Ste 1100Washington, DC 20005-5967Phone: (202) 951-7942Fax: (202) 971-1991
- 40 York Rd Ste 110Towson, MD 21204-5243Phone: (202) 951-7942Fax: (202) 971-1991
Registry dates
- Enumerated
- 2025-05-09
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Frequently asked questions
- What is Diane Tackie Granillo, LLC's NPI number?
- Diane Tackie Granillo, LLC's National Provider Identifier (NPI) is 1972393171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diane Tackie Granillo, LLC?
- Diane Tackie Granillo, LLC is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Diane Tackie Granillo, LLC located?
- Diane Tackie Granillo, LLC's practice location on file with NPPES is 1395 Piccard Dr Ste 200, Rockville, MD 20850-4348.
- What is Diane Tackie Granillo, LLC's phone number?
- The practice phone number listed in the NPPES registry for Diane Tackie Granillo, LLC is (202) 951-7942.
- Who is the authorized official for Diane Tackie Granillo, LLC?
- The authorized official listed on Diane Tackie Granillo, LLC's NPPES record is Diane Tackie Granillo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diane Tackie Granillo, LLC's NPI active?
- Yes — Diane Tackie Granillo, LLC's NPI (1972393171) is active in the NPPES registry as of the last update on 2026-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.