Chad Hetherwick, MS, RDN
Chad Hetherwick, MS, RDN is a Registered Dietitian OR Nutrition Professional in Prescott Valley, Arizona. Qualified in 2004, 22 years ago. Practices with Prairie View Creations LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth.
- Years since qualifying
- 22
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
Practice location Address checks out
8508 N Prairie VwPrescott Valley, AZ 86315-9089
Phone: (928) 772-8652
Fax: (928) 772-8078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 960912 |
|---|---|
| Pediatric Nutrition Registered Dietitian | Taxonomy 133VN1004X |
| Renal Nutrition Registered Dietitian | Taxonomy 133VN1005X |
| Metabolic Nutrition Registered Dietitian | Taxonomy 133VN1006X |
Record details
| NPI number | 1104023969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , RDN |
| Sole proprietor | No |
| NPI enumerated | June 27, 2007 |
| Last updated in NPPES | November 3, 2020 |
| Certification date | November 3, 2020 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Prairie View Creations Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |