Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taneisha Wilson, MD

Individual provider Emergency Medicine Physician · NPI 1184984072

Taneisha Wilson, MD is an Emergency Medicine in Providence, Rhode Island. Graduated from University of Connecticut School of Medicine in 2012, 14 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
14
Trained at
University of Connecticut School of Medicine
Licensed in
RI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4247
Fax: (401) 444-6662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Dudley St, Providence, RI 02905-2401 — (401) 453-7950

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD15346 (RI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence LP02561 (RI)

Record details

NPI number1184984072
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2012
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023
Mailing address593 Eddy St, Providence, RI 02903-4923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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