Shea Taylor Buckley, DO, MS
Individual provider Active NPI Family Medicine Physician · Warwick, RI
NPI 1073456497 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1073456497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- LP06935 (RI)
- Practice address
- 455 Toll Gate Rd
Warwick, RI 02886-2770 - Phone
- (617) 794-8798
- NPI assigned
- Apr 10, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LP06935 | RI | Yes |
Addresses
Primary practice location
455 Toll Gate Rd
Warwick, RI 02886-2770
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2770
Other providers in Warwick, RI
- Cassandra Bruzdzinski
- Anthony G Bruzzese
- Jessica A Bucci
- Julia Buckley
- Mary E Buckley
- Brenda Bullinger
- Susan Buntz
- Amy Buonaccorsi
- Chantele Jeanette Buratczuk
- Natalie Anne Burke
All providers in Warwick, RI · Family Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.