Individual provider Active NPI

Kristy Lynn Kironde, FNP

  • Family Nurse Practitioner
  • Albany, OR
National Provider Identifier
1679895783
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200950090NP Issued in OR
Practice address
1815 14TH Ave SE
Albany, OR 97322-8502
Phone
(541) 754-1369
Fax
(844) 423-9573
NPI assigned
Feb 17, 2010
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200950090NP OR Primary
Family Nurse Practitioner 363LF0000X ARNP.AP.61635569-NP WA

Addresses

Primary practice location

1815 14TH Ave SE
Albany, OR 97322-8502

Mailing address

28047 Santiam Hwy
Sweet Home, OR 97386-9722
Phone (541) 367-5090

Other practice location 1

2001 NW Monroe Ave Ste 104
Corvallis, OR 97330-5567
Phone (541) 754-1369

Other names 1

  • Kristy Lynn Shortridge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20101022001281 OR Practitioner - Nurse Practitioner 7618160565 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP.AP.61635569-NPWAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corvallis Clinic PC CurrentSince Nov 19, 2023 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Oct 9, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients

Locations

1815 14th Ave SE
Albany, OR 97322
Phone (541) 547-1369

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
  • Direct secure messaging: kkironde624387@direct.peacehealth.org

Organizations & group practices 4

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1679895783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28047 SANTIAM HWY",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973869722",
            "telephone_number": "541-367-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228502",
            "telephone_number": "541-754-1369",
            "fax_number": "844-423-9573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 NW Monroe Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973305567",
            "country_code": "US",
            "telephone_number": "541-754-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRONDE",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200950090NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.61635569-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "SHORTRIDGE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.