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
- Last updated
- Jan 2, 2026
- 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
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
Other practice location 2
1250 E Marshall St
Richmond, VA 23298-5023
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
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
2305 N Parham Rd
Ste 1
Richmond, VA 23229
Phone (804) 527-4712
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": "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"
},
{
"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"
}
],
"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.