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

MS. Tara Waters McDonald, CRNP

Individual provider Registered Nurse · NPI 1356865992

MS. Tara Waters McDonald, CRNP is a Nurse Practitioner in Fairhope, Alabama. Qualified in 2017, 9 years ago. Practices with Imc-Eastern Shore Adult Medicine, LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Licensed in
AL
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

300 Greeno Rd S
Fairhope, AL 36532-1905
Phone: (251) 929-3424
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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 1-116286 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1116286 (AL)

Record details

NPI number1356865992
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 26, 2017
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Imc-Eastern Shore Adult Medicine, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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