Kellie Chestnut, ITDS, M.A.E.

Individual Active
NPI 1902990328
Developmental Therapist Jacksonville, FL

Kellie Chestnut, ITDS, M.A.E. holds NPI 1902990328, with a primary taxonomy of developmental therapist and a practice location in Jacksonville, FL. The number was issued on October 2, 2006 and the NPPES record was last updated on March 13, 2019. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X Not listed
Case Manager/Care Coordinator 171M00000X Not listed

Practice location

910 N Jefferson St
Jacksonville, FL 32209-6810
Phone: (270) 847-5723

Local context

Active NPPES records list 291 providers with developmental therapist as the primary taxonomy within 25 miles of this practice location's ZIP code, 105 of them within 10 miles.

The same primary taxonomy is listed by 4,456 in Florida and 17,167 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ms. Kellie Derae Chestnut
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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