Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
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As of
Oct 8, 2026
Pick as many as you like in each row. A record shows if it matches any pick in a row, and every row.
All typesState medical licenseDEA registrationState controlled substance registrationBoard certificationMalpractice insuranceCAQH attestationPayer enrollmentHospital or surgery center privilegesCPR / BLS certificationOIG exclusion check
All sitesEast RegionWest RegionEastgate Family CareJefferson ParkMain CampusRiverbendRiverside OrthopedicsStonebridge
67 records for providers who work at Jefferson Park and Riverbend, showing 51 to 67. Clear all filters
- Dr. Ethan ColeState medical license (TN)CurrentCurrent. Start the renewal by Jul 31, 2028.No. TN-LIC-DEMO-4134Ends Oct 29, 2028
- Dr. Aisha GrantPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 28, 2028.No. LARK-ENR-DEMO-4066Ends Nov 25, 2028
- Nadia BrooksBoard certificationCurrentCurrent. Start the renewal by Jun 12, 2028.No. RHP-BRD-DEMO-4039Ends Dec 9, 2028
- Dr. Hannah WeissBoard certificationCurrentCurrent. Start the renewal by Jun 29, 2028.No. RHP-BRD-DEMO-4083Ends Dec 26, 2028
- Dr. Hannah WeissPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 4, 2028.No. HARB-ENR-DEMO-4089Ends Jan 2, 2029
- Dr. Rosa DelgadoDEA registration (TN)CurrentCurrent. Start the renewal by Nov 15, 2028.No. TN-DEA-DEMO-4151Ends Jan 14, 2029
- Dr. Ethan ColePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 25, 2028.No. HARB-ENR-DEMO-4144Ends Jan 23, 2029
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 25, 2029
- Grace LiuPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Oct 25, 2028.No. BLUE-ENR-DEMO-4133Ends Feb 22, 2029
- Dr. Rosa DelgadoDEA registration (VA)CurrentCurrent. Start the renewal by Jan 3, 2029.No. VA-DEA-DEMO-4152Ends Mar 4, 2029
- Dr. Ethan ColeDEA registration (TN)CurrentCurrent. Start the renewal by May 25, 2029.No. TN-DEA-DEMO-4139Ends Jul 24, 2029
- Dr. Ethan ColeBoard certificationCurrentCurrent. Start the renewal by Apr 9, 2029.No. RHP-BRD-DEMO-4137Ends Oct 6, 2029
- Dr. Rosa DelgadoBoard certificationCurrentCurrent. Start the renewal by May 24, 2030.No. RHP-BRD-DEMO-4149Ends Nov 21, 2030
- Dr. Aisha GrantBoard certificationCurrentCurrent. Start the renewal by Sep 12, 2030.No. RHP-BRD-DEMO-4059Ends Mar 11, 2031
- Grace LiuPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 11, 2030.No. MCD-ENR-DEMO-4132Ends Mar 11, 2031
- Grace LiuPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 25, 2030.No. MCR-ENR-DEMO-4131Ends Mar 25, 2031
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 21, 2031.No. MCD-ENR-DEMO-4087Ends Aug 19, 2031