KERANTHA POOLE-CHRISTIAN (MA, SLP) – Speech-Language Pathologist, NPI 1114149994

KERANTHA POOLE-CHRISTIAN (MA, SLP) is a healthcare provider. based in Hollywood, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA, SLP. They hold a License No. SA8315 (FL). The NPI Number for KERANTHA POOLE-CHRISTIAN (MA, SLP) is 1114149994

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KERANTHA POOLE-CHRISTIAN (MA, SLP)
NPI
1114149994
Phone
Not provided
Address
1721 N 54TH AVE
Enumeration Date
3 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003809153
Graduation Year
2004 (22 years ago)
PAC ID
6608307038
Group Practice PAC ID
9032552559
Professional Enrollment ID
I20241009001236
Address ID
FL338527907LA1297XNXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

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Provider Addresses for KERANTHA POOLE-CHRISTIAN (MA, SLP)

  • 1721, North 54th Avenue, Playland Estates, Hollywood, Broward County, Florida, 33021, United States

    HOLLYWOOD, FL 330213925

    Phone:

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241009001236IQualified Speech Language PathologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 33021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032552559View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

How is KERANTHA POOLE-CHRISTIAN (MA, SLP) identified in CMS data?
CMS-hosted NPPES data lists KERANTHA POOLE-CHRISTIAN (MA, SLP) with NPI 1114149994.
Is KERANTHA POOLE-CHRISTIAN (MA, SLP) still practicing?
KERANTHA POOLE-CHRISTIAN (MA, SLP) is currently listed as active in the public NPI registry.
What is KERANTHA POOLE-CHRISTIAN (MA, SLP)'s specialty?
The listing groups KERANTHA POOLE-CHRISTIAN (MA, SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What area does KERANTHA POOLE-CHRISTIAN (MA, SLP) serve?
KERANTHA POOLE-CHRISTIAN (MA, SLP)'s listing highlights Hollywood, Florida; more addresses can appear in NPPES.
Is the information about KERANTHA POOLE-CHRISTIAN (MA, SLP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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