Active NPI
Jade Nicole Caggiano
- Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1306644646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F06261333
- Practice address
- 3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449 - Phone
- (757) 668-4648
- NPI assigned
- Mar 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F06261333 | VA | Primary |
| Registered Nurse | 163W00000X | 0001319270 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449
Mailing address
3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449
Phone (626) 629-0087
Other practice location 1
680 Oyster Point Rd # 200
Newport News, VA 23606-4570
Phone (757) 668-4845
Other practice location 2
817 Volvo Pkwy
Chesapeake, VA 23320-2855
Phone (757) 668-4630
Other names 1
- Jade Brockett
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 |
|---|---|---|---|
| 0001319270 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1306644646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234522449",
"telephone_number": "626-629-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234522449",
"telephone_number": "757-668-4648"
}
],
"practiceLocations": [
{
"address_1": "680 Oyster Point Rd # 200",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236064570",
"country_code": "US",
"telephone_number": "757-668-4845",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "817 Volvo Pkwy",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233202855",
"country_code": "US",
"telephone_number": "757-668-4630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAGGIANO",
"first_name": "JADE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-04",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "F06261333",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001319270",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JADE",
"last_name": "BROCKETT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.