Individual provider Active NPI

Meredith Lynn Ruck, MS, ATC

  • Athletic Trainer
  • Saint Louis, MO
National Provider Identifier
1447211727
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2005020762 Issued in MO
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2005020762MOMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.