Alexis J Jones

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI1394 Issued in ME

Practice address

27 Gorham Road
Suite 201 Mailbox #6
Scarborough, ME 04074

Phone

(207) 749-9553

Fax

(877) 743-5351

NPI assigned

Feb 23, 2018

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alexis J Bogdanovich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1366943474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HUNNEWELL RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749586",
            "telephone_number": "207-749-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GORHAM ROAD",
            "address_2": "SUITE 201 MAILBOX #6",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-749-9553",
            "fax_number": "877-743-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALEXIS",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "BOGDANOVICH",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia A Johnson, PA-C
• Patrick Johnson
• Chelsea Johnston
• Michael Johnston, LCSW
• Wendy J. Johnston, PA-C
• Just for Kids Pediatric Dentistry, PLLC
• Jessica Ann Kaake, OCCT
• Veena Vaidyanathan Kahn, DDS
• Elizabeth Ann Kain, DMD
• Leonard C Kaminow, MD

• Registered Dietitian in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.