Marathon Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MARATHON HEALTH LLC

Practice address

20 Depot St
Norridgewock, ME 04957-3952

Phone

(207) 634-1250

NPI assigned

Feb 19, 2020

Organization subpart

Yes

Parent organization

MARATHON HEALTH LLCAs reported in NPPES

Name

Jerry Ford

Title

Ceo

Phone

(802) 857-0400

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Marathon Health LLC

  • Primary Care Nurse Practitioner
  • Rumford, ME
  • NPI 1457035396
  NPPES parent name

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

• Kristie L Knapp, APRN-BC

  • Family Nurse Practitioner
  • Norridgewock, ME
  • NPI 1194849380
  NPD (past)

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

CLIA laboratory certificates

Tax ID family

Marathon Health LLC130 organizations share this tax ID, including this one

Part of

Marathon Health LLC

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Marathon Health LLC

  • Primary Care Nurse Practitioner
  • Rumford, ME
  • NPI 1457035396
  NPD tax ID
• Marathon Health, LLC

  • Primary Care Clinic/Center
  • Skowhegan, ME
  • NPI 1497343461
  NPD tax ID
• Marathon Health, LLC

  • Nurse Practitioner
  • Norway, ME
  • NPI 1770171746
  NPD tax ID

Locations

• New Balance Norridgewock Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2021.

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1194358168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054040005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DEPOT ST",
            "city": "NORRIDGEWOCK",
            "state": "ME",
            "postal_code": "049573952",
            "telephone_number": "207-634-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761514",
            "country_code": "US",
            "telephone_number": "207-858-6540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 Cottage St",
            "address_purpose": "LOCATION",
            "city": "Norway",
            "state": "ME",
            "postal_code": "042686012",
            "country_code": "US",
            "telephone_number": "207-744-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARATHON HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH LLC",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JERRY",
        "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": "New Balance Norridgewock",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New Balance Norridgewock",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Ann Bingham, RN
• Anna Maureen Dixon, LCSW
• Lauren A Emery, LCPC
• Jaclyn Israel I, DO
• Kristie L Knapp, APRN-BC
• Sarah M Tomasz, DO
• Emily Trask-Eaton, D.O.
• Patricia Ann Waite, LCSW

• All providers in Norridgewock, ME
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.