Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kennetra Bradshaw, RD

Individual provider Registered Dietitian · NPI 1013420207

Kennetra Bradshaw, RD is registered under Registered Dietitian OR Nutrition Professional in Covington, Kentucky. Qualified in 2017, 9 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
9
Licensed in
KY, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1500 James Simpson Jr Way
Covington, KY 41011-0801
Phone: (859) 655-8910
Fax: (859) 655-8911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 35 Plymouth Ln, Elsmere, KY 41018-2717 — (859) 466-4754

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 261387 (KY)
Registered Dietitian Taxonomy 133V00000X · Licence LD08373 (OH)

Record details

NPI number1013420207
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedNovember 9, 2017
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients27
Services billed 109 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Summit Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 799 clinicians in the practice; 12 are shown here.

Other providers in Covington