Individual provider Active NPI

Isabella Leith Graham, CCC-SLP

  • Speech-Language Pathologist
  • Cape Elizabeth, ME
National Provider Identifier
1396999751
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6193 Issued in MA
Practice address
2 Davis Point LN Unit 1a
Cape Elizabeth, ME 04107
Phone
(207) 767-9773
Fax
(207) 541-9212
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6193 MA Primary

Addresses

Primary practice location

2 Davis Point LN Unit 1a
Cape Elizabeth, ME 04107

Mailing address

2 Davis Point LN Unit 1a
Cape Elizabeth, ME 04107-2628
Phone (207) 767-9773

Other practice location 1

618 Main St
Lewiston, ME 04240-5935
Phone (207) 795-6110

Other names 1

  • Ms. Isabella Leith Warlick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6193MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1396999751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LN UNIT 1A",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072628",
            "telephone_number": "207-767-9773",
            "fax_number": "207-541-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LN UNIT 1A",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "04107",
            "telephone_number": "207-767-9773",
            "fax_number": "207-541-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 MAIN ST",
            "address_purpose": "LOCATION",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "country_code": "US",
            "telephone_number": "207-795-6110",
            "fax_number": "207-795-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ISABELLA",
        "middle_name": "LEITH",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "WARLICK",
            "middle_name": "LEITH",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Elizabeth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.