Active NPI
Lauren S Wenrich, RDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1255129094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN008268
- Practice address
- 2045 W Grand Ave Ste B
Chicago, IL 60612-1577 - Phone
- (833) 336-9488
- NPI assigned
- Apr 30, 2025
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 59.002303 | CT | |
| Registered Dietitian | 133V00000X | 13166417-4901 | UT | |
| Registered Dietitian | 133V00000X | LD.10039 | OH | |
| Registered Dietitian | 133V00000X | LD006406 | GA | |
| Registered Dietitian | 133V00000X | LDN6650 | MA | |
| Registered Dietitian | 133V00000X | DN008268 | PA | Primary |
Addresses
Primary practice location
2045 W Grand Ave Ste B
Chicago, IL 60612-1577
Mailing address
5006 S 173Rd Cir
Omaha, NE 68135-1415
Phone (402) 981-7078
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 |
|---|---|---|---|
| 59.002303 | CT | MD | Registered Dietitian |
| LD006406 | GA | MD | Registered Dietitian |
| LDN6650 | MA | MD | Registered Dietitian |
| LD.10039 | OH | MD | Registered Dietitian |
| DN008268 | PA | MD | Registered Dietitian |
| 13166417-4901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1255129094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 S 173RD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681351415",
"telephone_number": "402-981-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 W GRAND AVE STE B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121577",
"telephone_number": "833-336-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENRICH",
"first_name": "LAUREN",
"middle_name": "S",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "59.002303",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "13166417-4901",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.10039",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD006406",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN6650",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN008268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.