Audrey Roen, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86049686

Practice address

1101 S Canal St Ste 202
Chicago, IL 60607-4946

Phone

(773) 702-4717

Fax

(773) 702-0666

NPI assigned

Sep 25, 2017

Last updated

May 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1720597578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CANAL ST STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074946",
            "telephone_number": "773-702-4717",
            "fax_number": "773-702-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CANAL ST STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074946",
            "telephone_number": "773-702-4717",
            "fax_number": "773-702-0666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-4717",
            "fax_number": "773-702-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEN",
        "first_name": "AUDREY",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86049686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Roehl
• David Leigh Roehrich, MD
• Kristen Roemer, RN
• Melissa Anne Roemer, MS, RDN, LDN
• Phillip Roemer, MD
• Hannah Roen
• Carol Roepenack
• George Herman Roepke III
• Isabella Roesing, LPC
• Claire Roesler, MD

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.