Active NPI
Kaitlyn Bayless Haynie, MPH, RDN
- Pediatric Nutrition Registered Dietitian
- Henrico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 86329673
- Practice address
- 2305 N Parham Rd Ste 1
Henrico, VA 23229-3156 - Phone
- (804) 828-2467
- NPI assigned
- Dec 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 86329673 | VA | Primary |
Addresses
Primary practice location
2305 N Parham Rd Ste 1
Henrico, VA 23229-3156
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-2467
Other practice location 2
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Philadelphia, PA 19178
PO Box
Suite 980503
Richmond, VA 23298
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86329673 | VA | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients |
Locations
2305 N Parham Rd
Ste 1
Richmond, VA 23229
Phone (804) 527-4712
1000 E Broad St
Richmond, VA 23219
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
2305 N Parham Rd
Richmond, VA 23229
Phone (804) 346-3077
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1851255707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 N PARHAM RD STE 1",
"city": "HENRICO",
"state": "VA",
"postal_code": "232293156",
"telephone_number": "804-828-2467"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-527-4728",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191930",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-527-4728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNIE",
"first_name": "KAITLYN",
"middle_name": "BAYLESS",
"credential": "MPH, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-15",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "VA",
"license": "86329673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.