MARATHON HEALTH, LLC
NPI 1093393811
Nurse Practitioner in Orlando, FL

Active since April 01, 2021CLIA Certified · 3 labs
11555 REGENCY VILLAGE DR, ORLANDO, FL 32821(802) 857-0400 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marathon Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARATHON HEALTH, LLC (NPI 1093393811) is a healthcare organization registered as a nurse practitioner in Orlando, Florida and active in the NPI registry since April 2021. The organization holds 3 active CLIA laboratory certificates and lists Jeff Wells, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093393811
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMARATHON HEALTH, LLC
Location Address11555 REGENCY VILLAGE DROrlando, FL 32821-7825
Mailing Address20 Winooski Falls Way Ste 400Winooski, VT 05404-2239
Organization SubpartYes
Authorized OfficialJeff WellsCeo · (802) 857-0400
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
NPI 1093393811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11555 REGENCY VILLAGE DR, Orlando, FL 32821

Other Names 1

Other NameMarathon Health @ Vineland Point

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2222872

Marathon Health LLC · Orlando, FL
Active · expires May 1, 2027
CLIA Number10D2222872
Laboratory TypeOnsite Health Center
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorKristina Garcia
Laboratory Phone(407) 627-0380
Laboratory LocationMarathon Health LLC11555 Regency Village Drive, Orlando, FL 32821
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2112031

Marathon Health - Cargill Fort Worth · Fort Worth, TX
Active · expires Apr 19, 2028
CLIA Number45D2112031
Laboratory TypeOnsite Hlth Center
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorLaura E. Ewing
Laboratory Phone(802) 857-0400
Laboratory LocationMarathon Health - Cargill Fort Worth1650 W Rosedale St Suite 203, Fort Worth, TX 76104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2119194

Marathon Health At Cargill - Friona · Hereford, TX
Active · expires Sep 20, 2026
CLIA Number45D2119194
Laboratory TypeOnsite Health Center
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorMelinda Burney
Laboratory Phone(802) 857-0400
Laboratory LocationMarathon Health At Cargill - Friona1005 West 1st St, Suite C, Hereford, TX 79045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
11555 REGENCY VILLAGE DR
ORLANDO, FL 32821
Health Educator
11555 REGENCY VILLAGE DR
ORLANDO, FL 32821
Nurse Practitioner (Family)
11555 REGENCY VILLAGE DR
ORLANDO, FL 32821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marathon Health, LLC's NPI number?

The NPI number for Marathon Health, LLC is 1093393811. It was assigned to this organization in the NPPES registry on April 1, 2021. The provider is also known as Marathon Health @ Vineland Point.

Where is Marathon Health, LLC located?

Marathon Health, LLC is located at 11555 Regency Village Dr, Orlando, FL 32821. The listed phone number is (802) 857-0400.

What is Marathon Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Marathon Health, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Marathon Health, LLC was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.