Active NPI
Meredith Lynn Ruck, MS, ATC
- Athletic Trainer
- Saint Louis, MO
National Provider Identifier
1447211727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2005020762
- Practice address
- 1 Brookings Dr
Campus Box 1067
Saint Louis, MO 63130-4862 - Phone
- (314) 935-6461
- Fax
- (314) 935-8789
- NPI assigned
- Mar 28, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2005020762 | MO | Primary |
Addresses
Primary practice location
1 Brookings Dr
Campus Box 1067
Saint Louis, MO 63130-4862
Mailing address
503 Park St
Apt. 2C
Waterloo, IL 62298-1373
Phone (203) 675-1808
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005020762 | MO | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University in St. Louis | Athletic Trainer | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Athletic Trainer
- Saint Louis, MO
- NPI 1053593319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447211727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 PARK ST",
"address_2": "APT. 2C",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622981373",
"telephone_number": "203-675-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKINGS DR",
"address_2": "CAMPUS BOX 1067",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631304862",
"telephone_number": "314-935-6461",
"fax_number": "314-935-8789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCK",
"first_name": "MEREDITH",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2005020762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.