Provider Demographics
NPI:1588460711
Name:JONES, ALEXIS MARIE (AUD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 HERITAGE WAY
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3161
Mailing Address - Country:US
Mailing Address - Phone:406-752-1014
Mailing Address - Fax:
Practice Address - Street 1:160 HERITAGE WAY STE 201
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3105
Practice Address - Country:US
Practice Address - Phone:406-752-1014
Practice Address - Fax:406-756-1379
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT13866237600000X, 237700000X, 246ZE0600X
MTSLP-AU-LIC-13866231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic