Healthcare Provider Details

I. General information

NPI: 1386553907
Provider Name (Legal Business Name): ALEXIS SIMONS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 NORWAY ST
LONGMEADOW MA
01106-3198
US

IV. Provider business mailing address

32 NORWAY ST
LONGMEADOW MA
01106-3198
US

V. Phone/Fax

Practice location:
  • Phone: 413-567-0374
  • Fax: 413-567-8808
Mailing address:
  • Phone: 413-567-0374
  • Fax: 413-567-8808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD00304
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD100224
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: