P Praxis·MD
● Active Type 1 · Individual

MRS. Kimberly Richardson Gutierrez, M.A., CCC/SLP

Speech-Language Pathologist·Victor, ID· NPI 1295046670 · Enumerated 2010 · 15 years on NPI
Gutierrez is 1 of 3 speech-language pathologist providers in Victor and 1 of 1046 in Idaho.
NPI age
15 years
Enumerated 2010-06-30
Primary specialty
Speech-Language Pathologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1046 active speech-language pathologist providers in Idaho.

NPI age
15 years
↑ 5 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-06Enumerated in NPPES
2010 2026

Where they practice

Practice location
73 N Main St, Suite 3
Victor, ID 83455
📞 2082015621
Mailing address
1371 E 4000 N
Driggs, ID 834225149
📞 2082015621

Specialties

  • Speech-Language Pathologist Primary
    The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
    ID license #SLP-1143 taxonomy 235Z00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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