Organization Active NPI

Halo Medical & Aesthetics LLC

  • General Practice Physician
  • Gilbert, WV
National Provider Identifier
1710836614
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HALO MEDICAL & AESTHETICS LLC
Practice address
2642 US 52
Gilbert, WV 25621
Phone
(304) 784-3649
Fax
(304) 223-7654
NPI assigned
Jan 23, 2026
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Candice Stacy, APRN, FNP-BCNPI 1841691821
Title
Owner, FNP-BC
Phone
(304) 784-3649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2642 US 52
Gilbert, WV 25621

Mailing address

2642 US 52
Gilbert, WV 25621
Phone (304) 784-3649

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2338866Halo Medical & Aesthetics LLC2642 US 52, Gilbert, WV 25621Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1710836614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 US 52",
            "city": "GILBERT",
            "state": "WV",
            "postal_code": "25621",
            "telephone_number": "304-784-3649",
            "fax_number": "304-223-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 US 52",
            "city": "GILBERT",
            "state": "WV",
            "postal_code": "25621",
            "telephone_number": "304-784-3649",
            "fax_number": "304-223-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO MEDICAL & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER, FNP-BC",
        "authorized_official_telephone_number": "304-784-3649",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.