NPPES file of Aug 9, 2026

Prairie View Creations LLC in Prescott Valley, AZ

This organization bills under NPI 1063979961, an organization record issued on Feb 27, 2019 with the primary taxonomy Registered Dietitian. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1063979961
Legal name
Prairie View Creations LLC
Entity
Type 2 · organization
Primary taxonomy
Registered Dietitian 133V00000X
Practice location
8508 N PRAIRIE VW, Prescott Valley, AZ 86315
Phone
928-772-8652
Mailing address
Prescott, AZ
Enumerated
Feb 27, 2019
Record updated
Nov 3, 2020
Authorized official
Registered Dietitian Nutritionist (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

2 clinicians CMS lists with Prairie View Creations in Prescott Valley

  1. Chad Hetherwick, MS, RDNRegistered Dietitian1104023969
  2. Kristin Lewis, RDRenal Nutrition Registered Dietitian1447574173

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Arizona secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 133V00000X Registered Dietitian
  • 133VN1004X Pediatric Nutrition Registered Dietitian
  • 133VN1005X Renal Nutrition Registered Dietitian
  • 133VN1006X Metabolic Nutrition Registered Dietitian

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.