Aesthetic Couture, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AESTHETIC COUTURE, PLLC

Practice address

809 Green Valley Rd Ste 114
Greensboro, NC 27408-7055

Phone

(376) 933-6708

NPI assigned

Feb 21, 2023

Last updated

Feb 21, 2023By 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

Jacklyn Marie Halpin, DNPNPI 1124792841

Title

Ceo

Phone

(615) 708-1450

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.

• Jacklyn Marie Halpin, FNP

  • Nurse Practitioner
  • Greensboro, NC
  • NPI 1124792841
  NPD Authorized official

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1538867312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GREEN VALLEY RD STE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087055",
            "telephone_number": "615-708-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 GREEN VALLEY RD STE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087055",
            "telephone_number": "376-933-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC COUTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "HALPIN",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-708-1450",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.