IndividualActive
Makenna Goutermout, RD, LD
NPI 1164916508 · Registered Dietitian · Boise, ID
Makenna Goutermout, RD, LD is a Registered Dietitian provider in Boise, ID (NPI 1164916508).
Provider details
- NPI number
- 1164916508
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- D-909 (ID)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
Street-level locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2018-06-19
- Last updated
- 2018-06-19
Frequently asked questions
- What is Makenna Goutermout's NPI number?
- Makenna Goutermout's National Provider Identifier (NPI) is 1164916508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Makenna Goutermout's specialty?
- Makenna Goutermout is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Makenna Goutermout located?
- Makenna Goutermout's practice location on file with NPPES is 190 E Bannock St, Boise, ID 83712-6241.
- What is Makenna Goutermout's phone number?
- The practice phone number listed in the NPPES registry for Makenna Goutermout is (208) 381-2222.
- Is Makenna Goutermout's NPI active?
- Yes — Makenna Goutermout's NPI (1164916508) is active in the NPPES registry as of the last update on 2018-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.