Active NPI
Isabella Leith Graham, CCC-SLP
- Speech-Language Pathologist
- Cape Elizabeth, ME
National Provider Identifier
1396999751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6193 | MA | MD | Speech-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.