Diane Tackie Granillo, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

DIANE TACKIE GRANILLO, LLC

Practice address

1395 Piccard Dr Ste 200
Rockville, MD 20850-4348

Phone

(202) 951-7942

Fax

(202) 971-1991

NPI assigned

May 9, 2025

Last updated

Mar 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Tackie Granillo, PA-C

Title

Owner

Phone

(202) 951-7942

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Adaku Tackie, PA-C

  • Medical Physician Assistant
  • Rockville, MD
  • NPI 1871894808
  NPD

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1972393171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 PICCARD DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504348",
            "telephone_number": "202-951-7942",
            "fax_number": "202-971-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 PICCARD DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504348",
            "telephone_number": "202-951-7942",
            "fax_number": "202-971-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 York Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212045243",
            "country_code": "US",
            "telephone_number": "202-951-7942",
            "fax_number": "202-971-1991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 H St NW Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200055967",
            "country_code": "US",
            "telephone_number": "202-951-7942",
            "fax_number": "202-971-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIANE TACKIE GRANILLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "TACKIE GRANILLO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-951-7942",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialog Healthcare LLC
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• Kelly Diamond, COTA
• Louis Harold Diamond, MD
• Dianedaumllc
• Ndeye Diao
• Zhiying Diao, PA-C
• Fatoumata Diaoune
• Isabelle Paes Dias, M.S., CCC-SLP

• Medical Physician Assistant in Rockville, MD
• Providers in Rockville, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.