Individual provider Active NPI

Dara Beth Fortes, R.N.

  • Registered Nurse
  • Basom, NY
National Provider Identifier
1376533224
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
376952-1 Issued in NY
Practice address
372 Bloomingdale Rd
Basom, NY 14013-9755
Phone
(585) 542-5230
Fax
(585) 542-5254
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 376952-1 NY Primary

Addresses

Primary practice location

372 Bloomingdale Rd
Basom, NY 14013-9755

Mailing address

7556 Reuben Rd
Basom, NY 14013-9788
Phone (716) 542-1180

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
376952-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376533224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 REUBEN RD",
            "city": "BASOM",
            "state": "NY",
            "postal_code": "140139788",
            "telephone_number": "716-542-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 BLOOMINGDALE RD",
            "city": "BASOM",
            "state": "NY",
            "postal_code": "140139755",
            "telephone_number": "585-542-5230",
            "fax_number": "585-542-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTES",
        "first_name": "DARA BETH",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "376952-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basom, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.