Tara Nicole Kidd, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11027520 Issued in FL

Practice address

116 4TH St SE Unit C
Fort Walton Beach, FL 32548-5438

Phone

(850) 779-0881

Fax

(850) 308-2450

NPI assigned

Nov 2, 2022

Last updated

Jul 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bluewater Behavioral Health, Inc.Group PAC ID 3274873435, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluewater Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Niceville, FL
  • NPI 1922562628
  Medicare reassignment Care Compare group NPD
• Compassionate Psychiatry PLLC

  dba High Tide Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1801754726
  Medicare reassignment NPD Authorized official
• Bluewater Primary Care, Inc

  • Primary Care Nurse Practitioner
  • Niceville, FL
  • NPI 1831936962
  NPD (past)

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1285341826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 4TH ST SE UNIT C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485438",
            "telephone_number": "850-779-0881",
            "fax_number": "850-308-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 4TH ST SE UNIT C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485438",
            "telephone_number": "850-779-0881",
            "fax_number": "850-308-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "TARA",
        "middle_name": "NICOLE",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11027520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Rena Kersey, OTR/L
• Hannah Elaine Kettle-Church, LPN
• Dawn Kimball Key, LMHC
• Sikandar Khan, MD
• Jessica Lauren Kibe, BCBA
• Francis E Kidwell III, PA-C
• Lawrence P King, M.D.
• Melissa McGuinn King, M.D.
• Nancy King, RD
• Brittney Marie Kinnaman-Lechuga, RBT

• Psychiatric/Mental Health Nurse Practitioner in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.