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Chad Hetherwick, MS, RDN

Registered Dietitian in Prescott Valley, AZ · enumerated 2007 · practices at Prairie View Creations LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104023969

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Registry record

Entity type Individual (Type 1)
Name Chad Hetherwick
Credential MS, RDN
Sex Male
Practice address 8508 N Prairie Vw, Prescott Valley, AZ, 86315
Phone (928) 772-8652
Fax (928) 772-8078
Enumeration date Jun 27, 2007
Last updated in NPPES Nov 3, 2020

Taxonomy & licenses

133VN1004X Pediatric Nutrition Registered Dietitian Dietary & Nutritional Service Providers Secondary
133VN1005X Renal Nutrition Registered Dietitian Dietary & Nutritional Service Providers Secondary
133VN1006X Metabolic Nutrition Registered Dietitian Dietary & Nutritional Service Providers Secondary
133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License 960912 Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Chad Hetherwick practice?
The practice location on file with NPPES is in Prescott Valley, AZ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Chad Hetherwick?
The National Provider Identifier (NPI) for Chad Hetherwick is 1104023969, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-03.