KENNETRA BRADSHAW RD
NPI 1013420207
Dietitian, Registered in Covington, KY

Active since November 09, 2017Accepts Medicare Assignment
90.38/100
CMS Quality Rating
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011(859) 655-8910(859) 655-8911 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2021, Nov 9, 2017 (2 updates tracked since 2017).

About Kennetra Bradshaw Rd NPPES

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

KENNETRA BRADSHAW RD (NPI 1013420207) is an individual dietitian, registered in Covington, Kentucky, licensed in Kentucky (261387) and active in the NPI registry since November 2017. She maintains a secondary practice location in Elsmere and is a graduate of Other (2017).

NPPES Registry Identity

NPI1013420207
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKENNETRA BRADSHAWCredential: RD
Location Address1500 JAMES SIMPSON JR WAYCovington, KY 41011-0801
Mailing Address35 Plymouth LnElsmere, KY 41018-2717
Fax(859) 655-8911
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 9, 2017
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
NPI 1013420207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in KY · 261387 Licensed in OH · LD08373
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.

1500 JAMES SIMPSON JR WAY, Covington, KY 41011

Secondary Practice Location 1

Location 135 Plymouth LnElsmere, KY 41018-2717 · Phone (859) 466-4754

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kennetra Bradshaw Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850727637
PECOS Enrollment IDI20210225003342

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
27 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
1500 JAMES SIMPSON JR WAY, WOULD CARE DEPT.
COVINGTON, KY 41011
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 JAMES SIMPSON JR WAY, SUITE 301
COVINGTON, KY 41011
Physician Assistant
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Internal Medicine (Cardiovascular Disease)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Nurse Practitioner (Psychiatric/Mental Health)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011

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 Kennetra Bradshaw's NPI number?

The NPI number for Kennetra Bradshaw is 1013420207. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Where is Kennetra Bradshaw located?

Kennetra Bradshaw practices at 1500 James Simpson Jr Way, Covington, KY 41011. The listed phone number is (859) 655-8910.

What is Kennetra Bradshaw's specialty?

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

Is Kennetra Bradshaw enrolled in Medicare?

Yes. Kennetra Bradshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kennetra Bradshaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Kennetra Bradshaw 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 Kennetra Bradshaw was last updated on February 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.