Kristina Ruddle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2016000080 Issued in MO

Practice address

4455 Telegraph Rd Ste 250
Saint Louis, MO 63129-3354

Phone

(314) 416-4900

Fax

(314) 487-4669

NPI assigned

Jan 10, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452384000000",
    "number": "1376909135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 COUNTRY CLUB PARC CT",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630523626",
            "telephone_number": "314-775-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 TELEGRAPH RD STE 250",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293354",
            "telephone_number": "314-416-4900",
            "fax_number": "314-487-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDLE",
        "first_name": "KRISTINA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-10",
        "last_updated": "2016-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016000080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Grace Ruddell
• Bonnie Marie Rudden, L.P.C.
• James P Rudden, MSW, LCSW
• William John Rudder
• Dennis Rudderow, M.D.
• Ginalyn Lacson Ruder, PT
• Peter Mitchell Ruderman, M.S.W.
• Katherine Nicole Rudisill
• Erica Lynn Rudloff, WHNP
• James Robert Rudloff, MD

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.