Active NPI
Deborah Gutierrez, NTP, RWS
- Nutritionist
- Boise, ID
National Provider Identifier
1992623045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 2876 S Shady LN
Boise, ID 83716-5865 - Phone
- (208) 830-0255
- NPI assigned
- Jul 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
2876 S Shady LN
Boise, ID 83716-5865
Mailing address
2876 S Shady LN
Boise, ID 83716-5865
Phone (208) 830-0255
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": "1783382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1992623045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2876 S SHADY LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837165865",
"telephone_number": "208-830-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2876 S SHADY LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837165865",
"telephone_number": "208-830-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "DEBORAH",
"credential": "NTP, RWS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-07",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.