Ruth Ann Allen, ATC

Key facts

NPI

1922099951

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

License

36000644A (IN)

Practice address

1001 E 17TH St
Bloomington, IN 47408-1590

Phone

(812) 855-1326

Fax

(812) 855-1810

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922099951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W 17TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043021",
            "telephone_number": "812-333-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 17TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474081590",
            "telephone_number": "812-855-1326",
            "fax_number": "812-855-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000644A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "2255A2300X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

• Chantel Allen, RBT
• Jeffrey Todd Allen, DDS
• Kara Ann Allen, MD
• Laurie Susan Allen, OTR CHT
• Mary Allen, MSN, APRN
• Allergy & Asthma of Southern Indiana, P.C.
• Alliance Telemed LLC
• Terry Lee Allshouse, LCSW
• Allure Eyecare LLC
• Louise Annette Alpert, MD

All providers in Bloomington, IN · Athletic Trainer in Indiana