MS. KELLIE DERAE CHESTNUT ITDS, M.A.E.
NPI 1902990328
Developmental Therapist in Jacksonville, FL

Active since October 02, 2006
910 N JEFFERSON ST, JACKSONVILLE, FL 32209(270) 847-5723 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kellie Derae Chestnut Itds, M.a.e. NPPES

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

MS. KELLIE DERAE CHESTNUT ITDS, M.A.E. (NPI 1902990328) is an individual developmental therapist in Jacksonville, Florida and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1902990328
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameMS. KELLIE DERAE CHESTNUTCredential: ITDS, M.A.E.
Location Address910 N JEFFERSON STJacksonville, FL 32209-6810
Mailing Address910 N Jefferson StJacksonville, FL 32209-6810 · (270) 847-5723
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 13, 2019
NPI 1902990328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
910 N JEFFERSON ST, Jacksonville, FL 32209

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Social Worker
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Social Worker
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Case Manager/Care Coordinator
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Social Worker
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Speech-Language Pathologist
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Social Worker
910 N JEFFERSON ST
JACKSONVILLE, FL 32209
Occupational Therapist
910 N JEFFERSON ST
JACKSONVILLE, FL 32209

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 Kellie Chestnut's NPI number?

The NPI number for Kellie Chestnut is 1902990328. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Kellie Chestnut located?

Kellie Chestnut practices at 910 N Jefferson St, Jacksonville, FL 32209. The listed phone number is (270) 847-5723.

What is Kellie Chestnut's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Kellie Chestnut was last updated on March 13, 2019. 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.