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MARATHON HEALTH, LLC
NPI 1366028797
Nurse Practitioner in St Petersburg, FL

Active since March 24, 2021CLIA 10D2220461 · Waiver
10560 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33716(802) 857-0400 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2024, Mar 24, 2021 (2 updates tracked since 2021).

About Marathon Health, Llc NPPES

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

MARATHON HEALTH, LLC (NPI 1366028797) is a healthcare organization registered as a nurse practitioner in St Petersburg, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Jeff Wells, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366028797
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMARATHON HEALTH, LLC
Location Address10560 DR MARTIN LUTHER KING JR ST NSt Petersburg, FL 33716-3718
Mailing Address20 Winooski Falls Way Ste 400Winooski, VT 05404-2239
Phone(802) 857-0400
Organization SubpartYes
Authorized OfficialJeff WellsCeo · (802) 857-0400
Enumeration DateMarch 24, 2021
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1366028797 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.
10560 DR MARTIN LUTHER KING JR ST N, St Petersburg, FL 33716
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Other Names 1

Other NameJabil Medical And Wellness Center

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

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 10D2220461

Marathon Health, LLC · Saint Petersburg, FL
Active · expires Apr 12, 2027
CLIA Number10D2220461
Laboratory TypeOnsite Health Center
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorHarold Gussman
Laboratory Phone(727) 353-3550
Laboratory LocationMarathon Health, LLC10560 Dr Martin Luther King Jr St, Saint Petersburg, FL 33716
CLIA data matches this NPI record on: Name
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.

MISS BRIANA AUSTIN M.S.
Counselor (Mental Health)
10560 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL 33716
Pinellas County (407) 437-2535
HAROLD GUSSMAN III APRN
Nurse Practitioner
10560 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL 33716
Pinellas County (727) 353-3550
KRYSTAL HEINTZ
Nurse Practitioner (Family)
10560 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL 33716
Pinellas County (727) 353-3550

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 1366028797. It was assigned to this organization in the NPPES registry on March 24, 2021. The provider is also known as Jabil Medical and Wellness Center.

Where is Marathon Health, LLC located?

Marathon Health, LLC is located at 10560 Dr Martin Luther King Jr St N, St Petersburg, FL 33716. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2220461) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marathon Health, LLC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.