Organization Active NPI

Carilion Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Blacksburg, VA
National Provider Identifier
1407667256
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CARILION HEALTHCARE CORPORATION
Practice address
215 Gilbert St
Blacksburg, VA 24060-3305
Phone
(540) 510-6200
Fax
(540) 857-5306
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Nicole Grisetti
Title
Director of Operational Support
Phone
(540) 224-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

215 Gilbert St
Blacksburg, VA 24060-3305

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250505002819 VA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5890607253 Practice locations: Blacksburg, VA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ft Defiance Medical Cen10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 45)

1700 Whitfield Dr
Bedford, VA 24523
Phone (434) 455-3045

1700 Whitfield Dr
#C4997
Bedford, VA 24523

1420 N Main St
Blacksburg, VA 24060
Phone (540) 951-8380

353 Alumni Mall
Blacksburg, VA 24061
Phone (877) 544-3770

901 Plantation Rd
#1
Blacksburg, VA 24060
Phone (540) 731-3222

901 Plantation Rd
Ste 1
Blacksburg, VA 24060
Phone (540) 951-0352

981 Litton Ln
Blacksburg, VA 24060
Phone (540) 558-2400

200 High St
#C15105
Bridgewater, VA 22812

18080 Main St
Ste 100
Buchanan, VA 24066
Phone (703) 254-1239

10 Hickok St
Ste 102
Christiansburg, VA 24073
Phone (540) 381-1181

2900 Lamb Cir
Ste 110
Christiansburg, VA 24073
Phone (540) 731-2436

2900 Lamb Cir
Ste 250
Christiansburg, VA 24073
Phone (540) 639-9071

2900 Lamb Cir
Ste 370
Christiansburg, VA 24073
Phone (540) 639-4860

2900 Lamb Cir
Ste L
Christiansburg, VA 24073
Phone (540) 224-5125

90 College St
Ste B
Christiansburg, VA 24073
Phone (540) 381-6211

15 Killdeer Ln
Dayton, VA 22821
Phone (540) 879-2585

118 Broad St
Dublin, VA 24084
Phone (540) 674-5244

76 Medical Ctr Dr
Augusta Medical Ctr
Fishersville, VA 22939
Phone (540) 932-4000

199 Hospital Dr
Galax, VA 24333
Phone (276) 236-5181

199 Hospital Dr
#C4963
Galax, VA 24333

13205 Booker T Washington Hwy
Hardy, VA 24101
Phone (540) 719-1815

282 Westlake Rd
Hardy, VA 24101
Phone (540) 721-2689

1 Health Cir
#C4982
Lexington, VA 24450

110 Houston St
Ste 6
Lexington, VA 24450
Phone (540) 462-3950

25 Crossing Ln
Lexington, VA 24450
Phone (540) 463-2103

Practitioners & affiliated clinicians

Practitioners 1,126

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.

View all 1,126

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1407667256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GILBERT ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603305",
            "telephone_number": "540-510-6200",
            "fax_number": "540-857-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "GRISETTI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONAL SUPPORT",
        "authorized_official_telephone_number": "540-224-5352"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.