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
60 records for providers who work at East Region and West Region, showing 1 to 50. Clear all filters
- Dr. Rosa DelgadoPayer enrollment: State MedicaidLapsedLapsed 20 days ago. No renewal has been recorded.No. MCD-ENR-DEMO-4156Ends Sep 18, 2026
- Nadia BrooksCAQH attestationLapsedLapsed 10 days ago. No renewal has been recorded.No. RHP-CAQH-DEMO-4042Ends Sep 28, 2026
- Dr. Nora WhitfieldPayer enrollment: Bluestem MutualMissingNothing on file. Visits are billed to Bluestem Mutual.
- Dr. Hannah WeissPayer enrollment: Larkspur Health PlanPendingApplication sent Aug 29, 2026 (40 days ago) and not approved yet.No. LARK-ENR-DEMO-4088
- Dr. Nora WhitfieldPayer enrollment: Larkspur Health PlanPendingApplication sent Sep 18, 2026 (20 days ago) and not approved yet.No. LARK-ENR-DEMO-4165
- Dr. Nora WhitfieldPayer enrollment: MedicarePendingApplication sent Sep 8, 2026 (30 days ago) and not approved yet.No. MCR-ENR-DEMO-4164
- Dr. Lena OkaforPayer enrollment: MedicareAction dueRenewal work should have started 27 days ago. Revalidate by Jan 11, 2027.No. MCR-ENR-DEMO-4018Ends Jan 11, 2027
- Caleb FosterCAQH attestationCurrentCurrent. Start the renewal by Oct 22, 2026.No. RHP-CAQH-DEMO-4097Ends Nov 21, 2026
- Dr. Priyanka RaoCAQH attestationCurrentCurrent. Start the renewal by Oct 23, 2026.No. RHP-CAQH-DEMO-4107Ends Nov 23, 2026
- Dr. Rosa DelgadoCAQH attestationCurrentCurrent. Start the renewal by Oct 27, 2026.No. RHP-CAQH-DEMO-4154Ends Nov 26, 2026
- Dr. Samuel OrtizCAQH attestationCurrentCurrent. Start the renewal by Nov 4, 2026.No. RHP-CAQH-DEMO-4074Ends Dec 4, 2026
- Dr. Ethan ColeCAQH attestationCurrentCurrent. Start the renewal by Nov 11, 2026.No. RHP-CAQH-DEMO-4140Ends Dec 11, 2026
- Dr. Hannah WeissCAQH attestationCurrentCurrent. Start the renewal by Nov 17, 2026.No. RHP-CAQH-DEMO-4086Ends Dec 17, 2026
- Dr. Julian MooreCAQH attestationCurrentCurrent. Start the renewal by Nov 24, 2026.No. RHP-CAQH-DEMO-4116Ends Dec 24, 2026
- Dr. Nora WhitfieldCAQH attestationCurrentCurrent. Start the renewal by Nov 27, 2026.No. RHP-CAQH-DEMO-4163Ends Dec 27, 2026
- Dr. Owen HaleCAQH attestationCurrentCurrent. Start the renewal by Dec 2, 2026.No. RHP-CAQH-DEMO-4007Ends Jan 1, 2027
- Dr. Lena OkaforCAQH attestationCurrentCurrent. Start the renewal by Dec 15, 2026.No. RHP-CAQH-DEMO-4017Ends Jan 14, 2027
- Dr. Aisha GrantCAQH attestationCurrentCurrent. Start the renewal by Dec 16, 2026.No. RHP-CAQH-DEMO-4064Ends Jan 15, 2027
- Grace LiuCAQH attestationCurrentCurrent. Start the renewal by Dec 25, 2026.No. RHP-CAQH-DEMO-4130Ends Jan 24, 2027
- Theo RamirezCAQH attestationCurrentCurrent. Start the renewal by Jan 1, 2027.No. RHP-CAQH-DEMO-4052Ends Feb 1, 2027
- Dr. Samuel OrtizPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Nov 2, 2026.No. LARK-ENR-DEMO-4076Ends Mar 2, 2027
- Dr. Rosa DelgadoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 6, 2026.No. MCR-ENR-DEMO-4155Ends Mar 7, 2027
- Dr. Ethan ColePayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 17, 2026.No. MCD-ENR-DEMO-4142Ends Mar 17, 2027
- Dr. Ethan ColePayer enrollment: MedicareCurrentCurrent. Start the renewal by Dec 1, 2026.No. MCR-ENR-DEMO-4141Ends Mar 31, 2027
- Caleb FosterPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 10, 2026.No. HARB-ENR-DEMO-4100Ends Apr 9, 2027
- Dr. Lena OkaforPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jan 1, 2027.No. MCD-ENR-DEMO-4019Ends May 2, 2027
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 9, 2027
- Nadia BrooksPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Feb 1, 2027.No. LARK-ENR-DEMO-4045Ends Jun 1, 2027
- Dr. Owen HalePayer enrollment: MedicareCurrentCurrent. Start the renewal by Feb 9, 2027.No. MCR-ENR-DEMO-4008Ends Jun 9, 2027
- Dr. Julian MoorePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Apr 1, 2027.No. HARB-ENR-DEMO-4119Ends Jul 30, 2027
- Dr. Priyanka RaoPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Apr 30, 2027.No. BLUE-ENR-DEMO-4110Ends Aug 29, 2027
- Dr. Owen HalePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 3, 2027.No. LARK-ENR-DEMO-4009Ends Aug 31, 2027
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 1, 2027.No. LARK-ENR-DEMO-4143Ends Oct 29, 2027
- Dr. Lena OkaforPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jul 9, 2027.No. BLUE-ENR-DEMO-4021Ends Nov 7, 2027
- Nadia BrooksPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jul 29, 2027.No. MCD-ENR-DEMO-4044Ends Nov 26, 2027
- Nadia BrooksPayer enrollment: MedicareCurrentCurrent. Start the renewal by Aug 12, 2027.No. MCR-ENR-DEMO-4043Ends Dec 10, 2027
- Theo RamirezPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 9, 2027.No. LARK-ENR-DEMO-4053Ends Jan 7, 2028
- Dr. Priyanka RaoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 30, 2027.No. LARK-ENR-DEMO-4109Ends Jan 28, 2028
- Dr. Lena OkaforPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Dec 9, 2027.No. LARK-ENR-DEMO-4020Ends Apr 7, 2028
- Dr. Samuel OrtizPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jan 28, 2028.No. HARB-ENR-DEMO-4077Ends May 27, 2028
- Dr. Aisha GrantPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Feb 22, 2028.No. MCD-ENR-DEMO-4065Ends Jun 21, 2028
- Dr. Aisha GrantPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Feb 25, 2028.No. BLUE-ENR-DEMO-4067Ends Jun 26, 2028
- Dr. Julian MoorePayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Mar 17, 2028.No. BLUE-ENR-DEMO-4120Ends Jul 17, 2028
- Caleb FosterPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Apr 28, 2028.No. LARK-ENR-DEMO-4099Ends Aug 26, 2028
- Dr. Rosa DelgadoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 19, 2028.No. LARK-ENR-DEMO-4157Ends Sep 16, 2028
- Dr. Owen HalePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jul 28, 2028.No. HARB-ENR-DEMO-4010Ends Nov 25, 2028
- Dr. Aisha GrantPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 28, 2028.No. LARK-ENR-DEMO-4066Ends Nov 25, 2028
- Dr. Julian MoorePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Aug 18, 2028.No. LARK-ENR-DEMO-4118Ends Dec 16, 2028
- Dr. Hannah WeissPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 4, 2028.No. HARB-ENR-DEMO-4089Ends Jan 2, 2029
- Dr. Ethan ColePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 25, 2028.No. HARB-ENR-DEMO-4144Ends Jan 23, 2029