Active NPI
Erin Bernice Josephine Ruggeri
- Sports Medicine (Emergency Medicine) Physician
- High Ridge, MO
National Provider Identifier
1366040537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 123
- Practice address
- 5199 Paradise LN
High Ridge, MO 63049-1137 - Phone
- (314) 920-3942
- NPI assigned
- Oct 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 123 | MO | Primary |
Addresses
Primary practice location
5199 Paradise LN
High Ridge, MO 63049-1137
Mailing address
5199 Paradise LN
High Ridge, MO 63049-1137
Phone (314) 920-3942
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123 | MO | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1366040537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5199 PARADISE LN",
"city": "HIGH RIDGE",
"state": "MO",
"postal_code": "630491137",
"telephone_number": "314-920-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5199 PARADISE LN",
"city": "HIGH RIDGE",
"state": "MO",
"postal_code": "630491137",
"telephone_number": "314-920-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGERI",
"first_name": "ERIN",
"middle_name": "BERNICE JOSEPHINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-11",
"last_updated": "2025-09-11",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "MO",
"license": "123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Ridge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.