Jennifer Laiacona Caicedo, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

2009-00855 Issued in NC

Practice address

8045 Providence Rd Ste 300
Charlotte, NC 28277

Phone

(704) 341-9600

Fax

(855) 380-3762

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

University of Florida College of Medicine, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Carolina Asthma and Allergy Center PAGroup PAC ID 0345144341, 33 clinicians

Asthma and Allergy Specialists PAGroup PAC ID 7719086396, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jennifer.caicedomd.p1@direct.caac.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asthma & Allergy Specialists, P.a.

  • Specialist
  • Charlotte, NC
  • NPI 1013093038
  Medicare reassignment Care Compare group NPD
• Carolina Asthma and Allergy Center PA

  • Allergy & Immunology Physician
  • Charlotte, NC
  • NPI 1215995444

  SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043490113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 PROVIDENCE RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778915",
            "telephone_number": "704-341-9600",
            "fax_number": "855-380-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 PROVIDENCE RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-341-9600",
            "fax_number": "855-380-3762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 Providence Rd S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281736309",
            "country_code": "US",
            "telephone_number": "704-341-9600",
            "fax_number": "704-341-9996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Sam Newell Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281057594",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10310 Mallard Creek Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624563",
            "country_code": "US",
            "telephone_number": "704-341-9600",
            "fax_number": "704-341-9996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13557 Steelecroft Pkwy Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282787559",
            "country_code": "US",
            "telephone_number": "704-341-9600",
            "fax_number": "704-341-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAICEDO",
        "first_name": "JENNIFER",
        "middle_name": "LAIACONA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2009-00855",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2009-00855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AA53535215",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10434901113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Michele Cahanin, DPT
• Kate Cahill, CRNA
• Kelsey Jo Cahill, LCMHC-A
• Angela Ruohong Cai, MD
• Marco A Caiazza, PT
• Ricardo Andres Caicedo, MD
• Chelsea Dawn Cain, FNP
• Lauren Caines, PHARMD
• Kylie Hawkins Cajka, NP
• Beril Cakir, MD

• Allergy & Immunology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Allergy & Immunology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.