Prairie View Creations LLC
NPI 1063979961 · Registered Dietitian · Prescott Valley, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prairie View Creations LLC is a Registered Dietitian organization in Prescott Valley, AZ (NPI 1063979961).
Provider details
- NPI number
- 1063979961
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Chad Hetherwick, Registered Dietitian Nutritionist(928) 772-8652
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Pediatric Nutrition Registered Dietitian133VN1004X
Dietary & Nutritional Service Providers
- Renal Nutrition Registered Dietitian133VN1005X
Dietary & Nutritional Service Providers
- Metabolic Nutrition Registered Dietitian133VN1006X
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Other names (DBA / former)
- Doing business as
- Healthy Transitions for Life
Registry dates
- Enumerated
- 2019-02-27
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Frequently asked questions
- What is Prairie View Creations LLC's NPI number?
- Prairie View Creations LLC's National Provider Identifier (NPI) is 1063979961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie View Creations LLC?
- Prairie View Creations LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Prairie View Creations LLC located?
- Prairie View Creations LLC's practice location on file with NPPES is 8508 N Prairie Vw, Prescott Valley, AZ 86315-9089.
- What is Prairie View Creations LLC's phone number?
- The practice phone number listed in the NPPES registry for Prairie View Creations LLC is (928) 772-8652.
- Does Prairie View Creations LLC accept Medicare?
- Prairie View Creations LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prairie View Creations LLC?
- The authorized official listed on Prairie View Creations LLC's NPPES record is Chad Hetherwick, Registered Dietitian Nutritionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie View Creations LLC's NPI active?
- Yes — Prairie View Creations LLC's NPI (1063979961) is active in the NPPES registry as of the last update on 2020-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.