MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) – Developmental Therapist, NPI 1902990328

Developmental Therapist

MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) is a healthcare provider. based in Jacksonville, Florida. specializing in Developmental Therapist. They hold the professional credentials ITDS, M.A.E.. The NPI Number for MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) is 1902990328

Main info

Female

Sole Proprietor

Name

MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.)

NPI

1902990328

Phone

(270) 847-5723

Address

910 N JEFFERSON ST

Enumeration Date

2 October 2006

Last Update Date

13 March 2019

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness75

Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.)

910, North Jefferson Street, LaVilla, Jacksonville, Duval County, Florida, 32209, United States
JACKSONVILLE, FL 322096810
Phone: (270) 847-5723
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32209)

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Reviews

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Frequently asked questions

How is MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) identified in CMS data?

CMS-hosted NPPES data lists MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) with NPI 1902990328.

Is MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) still practicing?

MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) is currently listed as active in the public NPI registry.

What healthcare role does MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) hold?

Scheduling teams often label MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.) under Developmental Therapist. Clinical services aligned with this taxonomy classification.

What address line appears for MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.)?

MS. KELLIE DERAE CHESTNUT (ITDS, M.A.E.)'s geographic hint is Jacksonville, Florida in our summary view.

How many locations tie to this NPI?

2 practice locations appear in the available data.