Kylee Arden Haley, RD - Medicare Dietitian in Johnson City, TN

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Kylee Arden Haley, RD is a medicare enrolled "Dietitian, Registered" provider in Johnson City, Tennessee. Her current practice location is 408 N State Of Franklin Rd Ste 400b, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 431-4946.

Kylee Arden Haley is licensed to practice in Tennessee (license number 4764) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154198372.

Contact Information

Kylee Arden Haley, RD
408 N State Of Franklin Rd Ste 400b,
Johnson City, TN 37604-6089
(423) 431-4946
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKylee Arden Haley
GenderFemale
SpecialityDietitian, Registered
Location408 N State Of Franklin Rd Ste 400b, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154198372
  • Provider Enumeration Date: 12/07/2023
  • Last Update Date: 10/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8628417144
  • Enrollment ID: I20240417001544

Medical Identifiers

Medical identifiers for Kylee Arden Haley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154198372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 4764 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kylee Arden Haley allows following entities to bill medicare on her behalf.
Provider NameBlue Ridge Medical Management Corporation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kylee Arden Haley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kylee Arden Haley, RD
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 952-2111		Kylee Arden Haley, RD
408 N State Of Franklin Rd Ste 400b,
Johnson City, TN 37604-6089

Ph: (423) 431-4946

Reviews and Comments


Dietitian, Registered in Johnson City, TN

Deanna Antonia Golden, MS, RD
Dietitian
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Practice Location: Lamont St & Veterans Way, Johnson City, TN 37604
Phone: 423-926-1171    
Morgan Labelle,
Dietitian
Medicare: Medicare Enrolled
Practice Location: 110 Corporate Dr Ste 100, Johnson City, TN 37604
Phone: 423-530-6556    
Jennifer Norris, RD
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Medicare: Not Enrolled in Medicare
Practice Location: 3101 W. Market Street, Ste 109, #614, Johnson City, TN 37604
Phone: 423-350-2646    
Audrey Kessler, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 422 W Locust St, Johnson City, TN 37604
Phone: 423-202-3981    
Mrs. Lindsay Howell, RDN, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 3318 Bondwood Cir, Johnson City, TN 37604
Phone: 423-494-7431    
Meredith Pellegrini, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 2700 S Roan St Ste 410, Johnson City, TN 37601
Phone: 423-530-6556    
Miss Felicia Christian,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 133 Boone Ridge Dr Apt 216, Johnson City, TN 37615
Phone: 865-293-9387    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.