MARATHON HEALTH LLC
NPI 1962092619
Nurse Practitioner in Green Forest, AR

Q: What is Marathon Health LLC's NPI number?

The NPI number for Marathon Health LLC is 1962092619. It was assigned to this organization in the NPPES registry on January 26, 2021. The provider is also known as Tyson Berryville/GreenForrest @ Marathon Health.

Q: What is Marathon Health LLC's specialty?

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

Active since January 26, 2021

1001 EAST MAIN STREET, GREEN FOREST, AR 72638(802) 857-0400 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Marathon Health Llc NPPES

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

MARATHON HEALTH LLC (NPI 1962092619) is a healthcare organization registered as a nurse practitioner in Green Forest, Arkansas and active in the NPI registry since January 2021. The organization lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962092619

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMARATHON HEALTH LLC

Location Address1001 EAST MAIN STREETGreen Forest, AR 72638

Mailing Address20 Winooski Falls Way Ste 400Winooski, VT 05404-2239 · (802) 857-0400

Phone(802) 857-0400

Organization SubpartYesParent: Marathon Health, Llc

Authorized OfficialJerry FordCeo · (802) 857-0400

Enumeration DateJanuary 26, 2021

NPPES CertifiedJanuary 11, 2021

✔ NPI 1962092619 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.

1001 EAST MAIN STREET, Green Forest, AR 72638

Open in Google Maps ↗

Other Names 1

Other NameTyson Berryville/greenforrest @ Marathon Health

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

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 1962092619. It was assigned to this organization in the NPPES registry on January 26, 2021. The provider is also known as Tyson Berryville/GreenForrest @ Marathon Health.

Where is Marathon Health LLC located?

Marathon Health LLC is located at 1001 East Main Street, Green Forest, AR 72638. 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.

When was this NPI record last updated?

The NPPES record for Marathon Health LLC was last updated on January 26, 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.