LAKE TOWN WELLNESS LIMITED
NPI 1578375952
Nurse Practitioner - Family in Heber Springs, AR
About Lake Town Wellness Limited NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE TOWN WELLNESS LIMITED (NPI 1578375952) is a healthcare organization registered as a family in Heber Springs, Arkansas and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Stephanie Marie Thompson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 04D2313983
Lake Town Wellness, Limited · Heber Springs, AROther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lake Town Wellness Limited's NPI number?
The NPI number for Lake Town Wellness Limited is 1578375952. It was assigned to this organization in the NPPES registry on January 23, 2025.
Where is Lake Town Wellness Limited located?
Lake Town Wellness Limited is located at 509 N 2nd St, Heber Springs, AR 72543. The listed phone number is (501) 436-2620.
What is Lake Town Wellness Limited's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Lake Town Wellness Limited hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2313983) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lake Town Wellness Limited was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.