Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Makenna Lyn Goutermout, RD, LD

Individual provider Registered Dietitian · NPI 1164916508

Makenna Lyn Goutermout, RD, LD is a Registered Dietitian in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-909 (ID)

Record details

NPI number1164916508
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018

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