What is Koren Bradshaw's NPI number?

Koren Bradshaw's National Provider Identifier (NPI) is 1205308012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Koren Bradshaw's specialty?

Koren Bradshaw is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).

Where is Koren Bradshaw located?

Koren Bradshaw's practice location on file with NPPES is 32 Ermine St, Fairfield, CT 06824-5109.

What is Koren Bradshaw's phone number?

The practice phone number listed in the NPPES registry for Koren Bradshaw is (617) 827-5223.

Is Koren Bradshaw's NPI active?

Yes — Koren Bradshaw's NPI (1205308012) is active in the NPPES registry as of the last update on 2018-12-19.

IndividualActive

Koren Bradshaw, MS, CLC

NPI 1205308012 · Nutritionist · Fairfield, CT

Koren Bradshaw, MS, CLC is a Nutritionist provider in Fairfield, CT (NPI 1205308012).

Provider details

NPI number: 1205308012
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Credential: MS, CLC
Sex: Female
Sole proprietor: Yes

Practice location

32 Ermine St

Fairfield, CT 06824-5109

Phone: (617) 827-5223

Street-level locationGet directions

More CT providers

Mailing address

32 Ermine St

Fairfield, CT 06824-5109

Specialties & taxonomies

NutritionistPrimary133N00000X
Dietary & Nutritional Service Providers
Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Lactation Consultant (Non-RN)174N00000X
Other Service Providers

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2018-12-19
Last updated: 2018-12-19

Frequently asked questions

What is Koren Bradshaw's NPI number?: Koren Bradshaw's National Provider Identifier (NPI) is 1205308012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Koren Bradshaw's specialty?: Koren Bradshaw is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).
Where is Koren Bradshaw located?: Koren Bradshaw's practice location on file with NPPES is 32 Ermine St, Fairfield, CT 06824-5109.
What is Koren Bradshaw's phone number?: The practice phone number listed in the NPPES registry for Koren Bradshaw is (617) 827-5223.
Is Koren Bradshaw's NPI active?: Yes — Koren Bradshaw's NPI (1205308012) is active in the NPPES registry as of the last update on 2018-12-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions