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

Taylor Fahey

Individual provider Family Nurse Practitioner · NPI 1477368629

Taylor Fahey is a Nurse Practitioner in Liverpool, New York. Qualified in 2024, 2 years ago. Practices with Familycare Medical Group PC, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

4820 W Taft Rd Ste 108
Liverpool, NY 13088-4865
Phone: (315) 413-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F355754 (NY)

Record details

NPI number1477368629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address107 Sandra Dr, Syracuse, NY 13212-3822

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Familycare Medical Group Pc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Liverpool