Individual provider Active NPI

Krystal A Buckridge, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1417520065
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0029346 Issued in OH
Practice address
388 S Main St Ste 440
Akron, OH 44311-4407
Phone
(909) 679-3482
NPI assigned
Jul 21, 2021
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0029346 OH Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029346 OH

Addresses

Primary practice location

388 S Main St Ste 440
Akron, OH 44311-4407

Mailing address

5430 Downingsgate Cir NW
Canton, OH 44718-3813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802001097 OH Practitioner - Nurse Practitioner 0941604763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029346OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KBS Medical PA CurrentSince Jan 18, 2026 Accepting new patients
KBS Medical New Jersey PC Past Accepting new patients

Locations

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

875 N Michigan Ave
Fl 31
Chicago, IL 60611
Phone (312) 794-7730

169 Madison Ave
Ste 15824
New York, NY 10016

220 5th Ave
Fl 11
New York, NY 10001
Phone (212) 564-0480

388 S Main St
Ste 440
Akron, OH 44311
Phone (216) 282-5244

111 Congress Ave
Ste 500
Austin, TX 78701
Phone (323) 597-3198

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1417520065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 DOWNINGSGATE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST STE 440",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443114407",
            "telephone_number": "909-679-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKRIDGE",
        "first_name": "KRYSTAL",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0029346",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.