Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902359771 Individual Practitioner Female Practitioner

Fawn Boonstra , RD

Dietitian, Registered • Apache Junction, AZ

Professional Overview & Biography Verified Profile Summary

Fawn Boonstra, RD is a registered healthcare professional specializing in Dietitian, Registered in Apache Junction, AZ. Practice services are available at 99 S. GOLD DR. SUITE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

99 S. Gold Dr. Suite 5
Goldfield Cardiovascular Institute

Apache Junction, AZ 85120

Telephone 4809620101
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Apache Junction, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Apache Junction, AZ (1452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-24
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Emily Hubner , RDN

Dietitian, Registered

NPI 1013518943

Registered Dietitian Nutritionist

Dr. Shantha Kumar , MD

Internal Medicine - Cardiovascular Disease

NPI 1396768958

Doctor of Medicine (M.D.)

Shiny Thomas , NP

Family Medicine - Adult Medicine

NPI 1558916247

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address June 24, 2020

Registered at 771 S CORNWALL DR, APACHE JUNCTION, AZ 851204812 (Tel: 6022062017)

NPI Profile Active July 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2016

Registered at 99 S. GOLD DR. SUITE 5, GOLDFIELD CARDIOVASCULAR INSTITUTE, APACHE JUNCTION, AZ 85120 (Tel: 4809620101)

📍
Updated Business Mailing Address July 28, 2016

Registered at 1357 N THUNDERBIRD CT, GILBERT, AZ 852341503 (Tel: 4802867907)

👤
Provider Name / Credentials Updated July 28, 2016

Recorded as FAWN BOONSTRA, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2016

Dietitian, Registered

🟢
Initial NPI Registration & Enumeration July 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902359771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2016
Last Update: June 24, 2020
Sole Proprietor: Yes

Mailing Address

771 S Cornwall Dr

Apache Junction, AZ 851204812

Phone: 6022062017

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.