Active NPI
Punnam Stephan, APRN, FNP-C
- Family Nurse Practitioner
- Lavon, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP125397
- Practice address
- 845 S State Hwy 78
Ste 150
Lavon, TX 75166 - Phone
- (972) 532-6214
- NPI assigned
- Apr 9, 2014
- Last updated
- May 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP125397 | TX | Primary |
Addresses
Primary practice location
845 S State Hwy 78
Ste 150
Lavon, TX 75166
Mailing address
845 S State Hwy 78
Ste 150
Lavon, TX 75166
Phone (972) 532-6214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3600 Gaston Ave
Suite 656
Dallas, TX 75246-1906
Phone (214) 820-3466
800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543
845 S State Hwy 78
Suite 150
Lavon, TX 75166
Phone (972) 532-6214
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP125397 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wellness Station LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
3500 Gaston Ave
Dallas, TX 75246
3600 Gaston Ave
Ste 550
Dallas, TX 75246
Phone (214) 821-1177
3600 Gaston Ave
Ste 656
Dallas, TX 75246
Phone (214) 820-3466
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
845 State Highway 78
Ste 150
Lavon, TX 75166
Phone (972) 532-6214
5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
7501 Lakeview Pkwy
Ste 220
Rowlett, TX 75088
Phone (469) 800-2475
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFHAED/Endpoint/AFHAED
- pstephan225847@direct.sw.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Nurse Practitioner
- Lavon, TX
- NPI 1073477444
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
dba One Medical with Baylor Scott & White Health
- Family Medicine Physician
- Fort Worth, TX
- NPI 1992429161
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center Lake Pointe
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1104245984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 S STATE HWY 78",
"address_2": "STE 150",
"city": "LAVON",
"state": "TX",
"postal_code": "75166",
"telephone_number": "972-532-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S STATE HWY 78",
"address_2": "STE 150",
"city": "LAVON",
"state": "TX",
"postal_code": "75166",
"telephone_number": "972-532-6214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHAN",
"first_name": "PUNNAM",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-09",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP125397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lavon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.