Lake Town Wellness Limited

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LAKE TOWN WELLNESS LIMITED

Practice address

509 N 2ND St
Heber Springs, AR 72543-2513

Phone

(501) 436-2620

Fax

(504) 436-2620

NPI assigned

Jan 23, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Marie Thompson, DNP, APRN, FNP-BCNPI 1700339256

Title

Owner

Phone

(501) 250-6688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Thompson, APRN

  • Family Nurse Practitioner
  • Heber Springs, AR
  • NPI 1700339256
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1578375952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N 2ND ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432513",
            "telephone_number": "501-436-2620",
            "fax_number": "504-436-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N 2ND ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432513",
            "telephone_number": "501-436-2620",
            "fax_number": "504-436-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TOWN WELLNESS LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-250-6688",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Daniel Justice, MD
• Kristie Kelso-Welsh
• Carol Renea Kerby, PHARMD
• Karen Ann Krug, MA
• Kent Michael Krug, DC, MSN, FNP-BC, NPC
• Lakeshore Dental
• James R Landry, M.D.,
• Lloyd George Langston, MD
• Lynda Larue, LCSW
• Kaleigh Brooke Lasley

• Family Nurse Practitioner in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.