THE WELLNESS STATION LLC
NPI 1073477444
Nurse Practitioner in Lavon, TX

Q: What is The Wellness Station LLC's NPI number?

The NPI number for The Wellness Station LLC is 1073477444. It was assigned to this organization in the NPPES registry on December 10, 2025.

Q: What is The Wellness Station LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 10, 2025CLIA 45D2340773 · Waiver

845 S STATE HWY 78, STE 150, LAVON, TX 75166(972) 532-6214 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Dec 10, 2025 (2 updates tracked since 2025).

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About The Wellness Station Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE WELLNESS STATION LLC (NPI 1073477444) is a healthcare organization registered as a nurse practitioner in Lavon, Texas and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Punnam Stephan, Owner, as its authorized official.

NPPES Registry Identity

NPI1073477444

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTHE WELLNESS STATION LLC

Location Address845 S STATE HWY 78, STE 150Lavon, TX 75166

Mailing Address845 S State Hwy 78, Ste 150Lavon, TX 75166 · (972) 532-6214

Phone(972) 532-6214

Organization SubpartNo

Authorized OfficialPunnam StephanOwner · (972) 532-6214

Enumeration DateDecember 10, 2025

Last NPPES UpdateMay 29, 20262 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1073477444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

845 S STATE HWY 78, Lavon, TX 75166

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2340773

The Wellness Station, LLC · Lavon, TX

Active · expires Mar 22, 2028

CLIA Number45D2340773

Laboratory TypePractitioner Other

Certificate Effective DateMarch 23, 2026

Certificate Expiration DateMarch 22, 2028

Laboratory DirectorStephan Punnam

Laboratory Phone(972) 532-6214

Laboratory LocationThe Wellness Station, LLC845 S Hwy 78 Ste 150, Lavon, TX 75166

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUNNAM STEPHAN APRN, FNP-C

Nurse Practitioner (Family)

845 S STATE HWY 78, STE 150
LAVON, TX 75166

Collin County (972) 532-6214

AD SMILE PLLC

Clinic/Center (Dental)

845 S STATE HWY 78, SUITE 130
LAVON, TX 75166

Collin County (972) 850-2790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Wellness Station LLC's NPI number?

The NPI number for The Wellness Station LLC is 1073477444. It was assigned to this organization in the NPPES registry on December 10, 2025.

Where is The Wellness Station LLC located?

The Wellness Station LLC is located at 845 S State Hwy 78 Ste 150, Lavon, TX 75166. The listed phone number is (972) 532-6214.

What is The Wellness Station LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does The Wellness Station LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2340773) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Wellness Station LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.