Active NPI
Marathon Health LLC
- Nurse Practitioner
- Winooski, VT
National Provider Identifier
1073147138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MARATHON HEALTH LLC
- Practice address
- 20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239 - Phone
- (802) 857-0400
- NPI assigned
- Feb 27, 2020
- Organization subpart
- Yes
- Parent organization
- MARATHON HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Wells
- Title
- Ceo
- Phone
- (802) 857-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239
Mailing address
10 W Market St Ste 2900
Indianapolis, IN 46204-2964
Phone (866) 434-3255
Other names 1
- MH Corporate
National Provider Directory
National Provider Directory- Tax ID family
- Marathon Health LLC
- Part of
- Marathon Health LLC
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Nurse Practitioner
- South Burlington, VT
- NPI 1134742893
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Colchester, VT
- NPI 1295407062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680739200000",
"number": "1073147138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 W MARKET ST STE 2900",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462042964",
"telephone_number": "866-434-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WINOOSKI FALLS WAY STE 400",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054042239",
"telephone_number": "802-857-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARATHON HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARATHON HEALTH LLC",
"enumeration_date": "2020-02-27",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "802-857-0400"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MH Corporate",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "MH Corporate",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winooski, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.