Organization Active NPI

CK Wellness LLC

  • Nutritionist
  • Minneapolis, MN
National Provider Identifier
1023988920
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
CK WELLNESS LLC
Practice address
1400 Van Buren St NE Ste 200
Minneapolis, MN 55413-3017
Phone
(612) 800-8424
NPI assigned
Nov 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Carley Rollins, MS, CNS, LNNPI 1770350332
Title
Owner
Phone
(608) 963-3479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

1400 Van Buren St NE Ste 200
Minneapolis, MN 55413-3017

Mailing address

5744 11TH Ave S
Minneapolis, MN 55417-2517
Phone (608) 963-3479

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1023988920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 11TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172517",
            "telephone_number": "608-963-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VAN BUREN ST NE STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133017",
            "telephone_number": "612-800-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "CARLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-963-3479",
        "authorized_official_credential": "MS, CNS, LN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.