Active NPI
Jillian Rebecca Grall
- Certified Registered Nurse Anesthetist
- Silver Spring, MD
National Provider Identifier
1619822210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9512996
- Practice address
- 1500 Forest Glen Rd
Silver Spring, MD 20910-1460 - Phone
- (301) 754-7000
- NPI assigned
- Feb 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9512996 | FL | Primary |
Addresses
Primary practice location
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Mailing address
2001 E 2ND Ave Unit 20
Tampa, FL 33605-5210
Phone (813) 951-3509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9512996 | FL | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772236800000",
"number": "1619822210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 E 2ND AVE UNIT 20",
"city": "TAMPA",
"state": "FL",
"postal_code": "336055210",
"telephone_number": "813-951-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FOREST GLEN RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101460",
"telephone_number": "301-754-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRALL",
"first_name": "JILLIAN",
"middle_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-28",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9512996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.