Individual provider Active NPI

Nancy Diazgranados, MD

  • Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1285846659
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D74588 Issued in MD
Practice address
10 Center Dr
10CRC/1-3449 MSC 1108
Bethesda, MD 20892-1108
Phone
(301) 496-7515
Fax
(301) 402-0445
NPI assigned
May 5, 2007
Last updated
Sep 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD430744 PA
Clinical Pharmacology Physician 208U00000X MD430744 PA
Psychiatry Physician 2084P0800X D74588 MD Primary
Clinical Pharmacology Physician 208U00000X D74588 MD

Addresses

Primary practice location

10 Center Dr
10CRC/1-3449 MSC 1108
Bethesda, MD 20892-1108

Mailing address

2324 W Joppa Rd
Suite 200
Lutherville, MD 21093-4615
Phone (410) 583-2623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD430744PAMDClinical Pharmacology Physician

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1285846659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 W JOPPA RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934615",
            "telephone_number": "410-583-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "10CRC/1-3449 MSC 1108",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921108",
            "telephone_number": "301-496-7515",
            "fax_number": "301-402-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZGRANADOS",
        "first_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD430744",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "PA",
            "license": "MD430744",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D74588",
            "primary": true
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "MD",
            "license": "D74588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.