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KYLEE ARDEN HALEY RD
NPI 1154198372
Dietitian, Registered in Johnson City, TN

Active since December 07, 2023
408 N STATE OF FRANKLIN RD STE 400B, JOHNSON CITY, TN 37604(423) 431-4946 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2025, Feb 26, 2025, Apr 26, 2024 and 1 more (4 updates tracked since 2023).

About Kylee Arden Haley Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLEE ARDEN HALEY RD (NPI 1154198372) is an individual dietitian, registered in Johnson City, Tennessee, licensed in Tennessee (4764) and active in the NPI registry since December 2023. She maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1154198372
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKYLEE ARDEN HALEYCredential: RD
Location Address408 N STATE OF FRANKLIN RD STE 400BJohnson City, TN 37604-6089
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Phone(423) 431-4946
Sole ProprietorYes
Enumeration DateDecember 7, 2023
Last NPPES UpdateOctober 8, 20254 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1154198372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TN · 4764
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
408 N STATE OF FRANKLIN RD STE 400B, Johnson City, TN 37604
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Secondary Practice Location 1

Location 1408 N State Of Franklin Rd Ste 400EJohnson City, TN 37604-6089 · Phone (423) 431-4946

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylee Arden Haley Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kylee Haley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation
Same address
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1073555934 (423) 431-2350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FIELD GUILLEMETTE NUTRITIONIST
Dietitian, Registered
408 N STATE OF FRANKLIN RD STE 400B
JOHNSON CITY, TN 37604
Washington County (423) 431-4946
ALANA MARY SHAWAH DIETITIAN/NUTRITIONI
Dietitian, Registered
408 N STATE OF FRANKLIN RD STE 400B
JOHNSON CITY, TN 37604
Washington County (423) 431-4946

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylee Haley's NPI number?

The NPI number for Kylee Haley is 1154198372. It was assigned to this individual provider in the NPPES registry on December 7, 2023.

Where is Kylee Haley located?

Kylee Haley practices at 408 N State Of Franklin Rd Ste 400B, Johnson City, TN 37604. The listed phone number is (423) 431-4946.

What is Kylee Haley's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kylee Haley enrolled in Medicare?

Yes. Kylee Haley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kylee Haley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylee Haley reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kylee Haley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kylee Haley accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Kylee Haley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kylee Haley was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.