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PRAIRIE VIEW CREATIONS LLC
NPI 1063979961
Dietitian, Registered in Prescott Valley, AZ

Active since February 27, 2019
8508 N PRAIRIE VW, PRESCOTT VALLEY, AZ 86315(928) 772-8652(928) 772-8078 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2020, Feb 27, 2019 (2 updates tracked since 2019).

About Prairie View Creations Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE VIEW CREATIONS LLC (NPI 1063979961), doing business as Healthy Transitions For Life, is a healthcare organization registered as a dietitian, registered in Prescott Valley, Arizona and active in the NPI registry since February 2019. The organization lists Chad Hetherwick, Registered Dietitian Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1063979961
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NamePRAIRIE VIEW CREATIONS LLC
Location Address8508 N PRAIRIE VWPrescott Valley, AZ 86315-9089
Mailing AddressPo Box 10214Prescott, AZ 86304-0214 · (928) 772-8652 · Fax (928) 772-8078
Phone(928) 772-8652
Fax(928) 772-8078
Organization SubpartNo
Authorized OfficialChad HetherwickRegistered Dietitian Nutritionist · (928) 772-8652
Enumeration DateFebruary 27, 2019
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
✔ NPI 1063979961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
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.
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
8508 N PRAIRIE VW, Prescott Valley, AZ 86315
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Other Names 1

Doing Business AsHealthy Transitions For Life

Other Identifiers 1

Medicaid488506AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie View Creations Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prairie View Creations LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chad Hetherwick, MS, RDN
Registered Dietitian or Nutrition Professional
NPI 1104023969
8508 N PRAIRIE VW
Prescott Valley, AZ 86315
(928) 772-8652
✔ Accepts MedicareSame address
Kristin Lewis, R.D.
Registered Dietitian or Nutrition Professional
NPI 1447574173
8508 N PRAIRIE VW
Prescott Valley, AZ 86315
(928) 772-8652
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie View Creations LLC's NPI number?

The NPI number for Prairie View Creations LLC is 1063979961. It was assigned to this organization in the NPPES registry on February 27, 2019. The provider is doing business as Healthy Transitions For Life.

Where is Prairie View Creations LLC located?

Prairie View Creations LLC is located at 8508 N Prairie Vw, Prescott Valley, AZ 86315. The listed phone number is (928) 772-8652.

What is Prairie View Creations LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Prairie View Creations LLC enrolled in Medicare?

Yes. Prairie View Creations LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie View Creations LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Prairie View Creations LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prairie View Creations LLC was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.