Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013420207 Individual Practitioner Female Practitioner

Kennetra Bradshaw , RD

Dietitian, Registered • Covington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kennetra Bradshaw, RD is a certified Dietitian, Registered practicing in Covington, KY. With approximately 9 years of clinical experience since completing medical education in 2017, Kennetra Bradshaw delivers high-quality medical care to the local community at 1500 JAMES SIMPSON JR WAY.

Kennetra Bradshaw is affiliated with Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include diabetes outpatient self-management training services, individual, per, medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 James Simpson Jr Way

Covington, KY 410110801

Telephone 8596558910
Fax 8596558911
Associated Practice Facility / Clinic
🏢 Bluegrass Dialysis Llc Facility NPI 1255566444

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Covington, KY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -7.9 yrs vs City Avg
City Avg: 16.9 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Covington, KY (813 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bradshaw (9 Years) 9 Yrs
Covington Specialty Average (16.9 Years) 16.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
27 13 $130.00 $48.04

Medical Specialties & State Licenses

CMS Verified: 2021-02-19
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License KY 261387

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License OH LD08373

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.

Hospital & Practice Group Affiliations

Summit Medical Group Inc

7388 Turfway Rd, Florence, KY 410421381

Phone: 8595785880

Secondary Practice Locations

35 Plymouth Ln

Elsmere, KY 410182717

Phone: 8594664754

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. Wael Eid , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1013936517

Doctor of Medicine (M.D.)

Briana Vitucci , RD

Dietitian, Registered

NPI 1053088542

Registered Dietitian

Rae Elizagaray , RD

Dietitian, Registered

NPI 1053847707

Registered Dietitian

Jalean Heikenfeld , APRN

Nurse Practitioner

NPI 1093084774

Advanced Practice Registered Nurse

Dr. Irina Korableva , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1093793994

Doctor of Medicine (M.D.)

Dr. Jaspreet Chahal , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1114989886

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location February 19, 2021

Registered at 1500 JAMES SIMPSON JR WAY, COVINGTON, KY 410110801 (Tel: 8596558910)

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2017

Registered at 35 PLYMOUTH LN, ELSMERE, KY 410182717 (Tel: 8594664754)

📍
Updated Business Mailing Address November 09, 2017

Registered at 35 PLYMOUTH LN, ELSMERE, KY 410182717

👤
Provider Name / Credentials Updated November 09, 2017

Recorded as KENNETRA BRADSHAW, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Dietitian, Registered (License #LD08373 in OH)

🟢
Initial NPI Registration & Enumeration November 09, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013420207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2017
Last Update: February 19, 2021
Sole Proprietor: No

Mailing Address

35 Plymouth Ln

Elsmere, KY 410182717

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.