OrganizationActive
The Wellness Station LLC
NPI 1073477444 · Nurse Practitioner · Lavon, TX
Provider details
- NPI number
- 1073477444
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Punnam Stephan, Owner(972) 532-6214
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
845 S State Hwy 78
Ste 150
Lavon, TX 75166
Phone: (972) 532-6214
Approximate (ZIP-level) locationGet directions
Mailing address
845 S State Hwy 78
Lavon, TX 75166
Registry dates
- Enumerated
- 2025-12-10
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.