NPIMap

Organization Active NPI

Carilion Medical Center

  • Early Intervention Provider Agency
  • Roanoke, VA
National Provider Identifier
1669695052
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CARILION MEDICAL CENTER
Practice address
101 Elm Ave SE
Roanoke, VA 24013-2222
Phone
(540) 981-7000
NPI assigned
Apr 11, 2007
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CARILION MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Eleanor Altman Prescott
Title
Director of Payer Contract Admin.
Phone
(504) 224-5379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

101 Elm Ave SE
Roanoke, VA 24013-2222

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5452

Other identifiers 2

IdentifierTypeStateIssuer
4900243MedicaidVA
185024OtherVAANTHEM SPEECH EI

Other names 2

  • CMC Pediatric Clinic Speech EI Other name
  • Carilion Roanoke Community Hospital - Carilion Children's Pediatric Therapy - Early Intervention Spe Other name

National Provider Directory

National Provider Directory
Tax ID family
Carilion Professional B19 organizations share this tax ID, including this one
Part of
Carilion Professional B

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1669695052",
    "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",
            "telephone_number": "540-224-5452",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELM AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132222",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARILION MEDICAL CENTER",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ALTMAN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER CONTRACT ADMIN.",
        "authorized_official_telephone_number": "504-224-5379"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4900243",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SPEECH EI",
            "identifier": "185024",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Pediatric Clinic Speech EI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Carilion Roanoke Community Hospital - Carilion Children's Pediatric Therapy - Early Intervention Spe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.