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NEW BALANCE NORRIDGEWOCK
NPI 1194358168
Nurse Practitioner in Norridgewock, ME

Active since February 19, 2020CLIA Certified · 3 labs
20 DEPOT ST, NORRIDGEWOCK, ME 04957(207) 634-1250 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2021, Feb 19, 2020 (2 updates tracked since 2020).

About New Balance Norridgewock NPPES

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

NEW BALANCE NORRIDGEWOCK (NPI 1194358168) is a healthcare organization registered as a nurse practitioner in Norridgewock, Maine and active in the NPI registry since February 2020. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194358168
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMARATHON HEALTH LLC
Location Address20 DEPOT STNorridgewock, ME 04957-3952
Mailing AddressPo Box 5Winooski, VT 05404-0005
Phone(207) 634-1250
Organization SubpartYes
Authorized OfficialJerry FordCeo · (802) 857-0400
Enumeration DateFebruary 19, 2020
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1194358168 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.
20 DEPOT ST, Norridgewock, ME 04957
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Other Names 1

Other NameNew Balance Norridgewock

Secondary Practice Locations 2

Location 117 Walnut StSkowhegan, ME 04976-1514 · Phone (207) 858-6540
Location 272 Cottage StNorway, ME 04268-6012 · Phone (207) 744-4240

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 20D1096140

Marathon Health Wellness Center At New Balance Norridgewock · Norridgewock, ME
Active · expires Feb 25, 2027
CLIA Number20D1096140
Laboratory TypeOther
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorKristie Knapp Fnp
Laboratory Phone(802) 857-0463
Laboratory LocationMarathon Health Wellness Center At New Balance Norridgewock20 Depot Street, Norridgewock, ME 04957
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D1096142

Marathon Health Wellness Center At New Balance Skowhegan · Skowhegan, ME
Active · expires Feb 25, 2027
CLIA Number20D1096142
Laboratory TypeOther
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorKristie Knapp Fnp
Laboratory Phone(802) 857-0463
Laboratory LocationMarathon Health Wellness Center At New Balance Skowhegan17 Walnut Street, Skowhegan, ME 04976
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D1096145

Marathon Health Wellness Center At New Balance Norway · Norway, ME
Active · expires Feb 25, 2027
CLIA Number20D1096145
Laboratory TypeOther
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorKristie Knapp Fnp
Laboratory Phone(802) 857-0463
Laboratory LocationMarathon Health Wellness Center At New Balance Norway72 Cottage Street, Norway, ME 04268
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KRISTIE L KNAPP APRN-BC
Nurse Practitioner (Family)
20 DEPOT ST
NORRIDGEWOCK, ME 04957
Somerset County (207) 634-1250

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 1194358168. It was assigned to this organization in the NPPES registry on February 19, 2020. The provider is also known as New Balance Norridgewock.

Where is Marathon Health LLC located?

Marathon Health LLC is located at 20 Depot St, Norridgewock, ME 04957. The listed phone number is (207) 634-1250.

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 January 6, 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.