Active NPI
Halo Medical & Aesthetics LLC
- General Practice Physician
- Gilbert, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candice Stacy, APRN, FNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2338866 | Halo Medical & Aesthetics LLC | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Man, WV
- NPI 1841691821
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.