Keyona Monique Chestnut, M.ED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4273 Issued in SC

Practice address

304 E Society St
Hemingway, SC 29554-6597

Phone

(843) 372-6722

NPI assigned

Jun 13, 2008

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Expressions

  • Speech-Language Pathologist
  • Nesmith, SC
  • NPI 1821223629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1649430588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E SOCIETY ST",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295546597",
            "telephone_number": "843-372-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E SOCIETY ST",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295546597",
            "telephone_number": "843-372-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "KEYONA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9328",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arise Speech and Language Therapy LLC
• Hope S Brown, RPH
• Shannon Tyler Brown, RPH
• Tina Brown, RN
• Frederick Canteen, CCC-SLP
• Compassinate Care of the Carolinas
• Tavon Davion Cooper-Thomas, DC
• Kinley Brookes Cooper, PHARMD
• Sterling Cox
• Janet F Cribb

• Speech-Language Pathologist in Hemingway, SC
• Providers in Hemingway, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.