KOREN H. BRADSHAW MS, CLC
NPI 1205308012
Nutritionist in Fairfield, CT

Q: What is Koren Bradshaw's NPI number?

The NPI number for Koren Bradshaw is 1205308012. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Q: What is Koren Bradshaw's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Koren Bradshaw was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since December 19, 2018

32 ERMINE ST, FAIRFIELD, CT 06824(617) 827-5223 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Koren H. Bradshaw Ms, Clc NPPES

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

KOREN H. BRADSHAW MS, CLC (NPI 1205308012) is an individual nutritionist in Fairfield, Connecticut and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1205308012

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameKOREN H. BRADSHAWCredential: MS, CLC

Location Address32 ERMINE STFairfield, CT 06824-5109

Mailing Address32 Ermine StFairfield, CT 06824-5109 · (617) 827-5223

Phone(617) 827-5223

Sole ProprietorYes

Enumeration DateDecember 19, 2018

✔ NPI 1205308012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X

32 ERMINE ST, Fairfield, CT 06824

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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 Koren Bradshaw's NPI number?

The NPI number for Koren Bradshaw is 1205308012. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Where is Koren Bradshaw located?

Koren Bradshaw practices at 32 Ermine St, Fairfield, CT 06824. The listed phone number is (617) 827-5223.

What is Koren Bradshaw's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Koren Bradshaw was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.