Active NPI
Carly Wells, RD & IBCLC
- Nutritionist
- Gilbert, AZ
National Provider Identifier
1083576003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1062383
- Practice address
- 2451 E. Baseline Rd.
#130
Gilbert, AZ 85234 - Phone
- (480) 626-6515
- Fax
- (480) 507-2218
- NPI assigned
- Nov 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-313583 | ||
| Nutritionist | 133N00000X | 1062383 | Primary |
Addresses
Primary practice location
2451 E. Baseline Rd.
#130
Gilbert, AZ 85234
Mailing address
2451 E. Baseline Rd.
#130
Gilbert, AZ 85234
Phone (480) 626-6515
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1083576003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 E. BASELINE RD.",
"address_2": "#130",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "480-626-6515",
"fax_number": "480-507-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 E. BASELINE RD.",
"address_2": "#130",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "480-626-6515",
"fax_number": "480-507-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "CARLY",
"name_prefix": "Mrs.",
"credential": "RD & IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-28",
"last_updated": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "L-313583",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": "1062383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.