Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
Download CSV
As of
Oct 7, 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
51 records for providers who work at East 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 17, 2026
- Nadia BrooksCAQH attestationLapsedLapsed 10 days ago. No renewal has been recorded.No. RHP-CAQH-DEMO-4042Ends Sep 27, 2026
- Dr. Nora WhitfieldPayer enrollment: Bluestem MutualMissingNothing on file. Visits are billed to Bluestem Mutual.
- Dr. Owen HaleDEA registration (TN)ExpiringExpires in 12 days. Renewal not started.No. TN-DEA-DEMO-4006Ends Oct 19, 2026
- Dr. Hannah WeissPayer enrollment: Larkspur Health PlanPendingApplication sent Aug 28, 2026 (40 days ago) and not approved yet.No. LARK-ENR-DEMO-4088
- Dr. Nora WhitfieldPayer enrollment: Larkspur Health PlanPendingApplication sent Sep 17, 2026 (20 days ago) and not approved yet.No. LARK-ENR-DEMO-4165
- Dr. Nora WhitfieldPayer enrollment: MedicarePendingApplication sent Sep 7, 2026 (30 days ago) and not approved yet.No. MCR-ENR-DEMO-4164
- Dr. Lena OkaforPayer enrollment: MedicareAction dueRenewal work should have started 26 days ago. Revalidate by Jan 10, 2027.No. MCR-ENR-DEMO-4018Ends Jan 10, 2027
- Dr. Rosa DelgadoCAQH attestationCurrentCurrent. Start the renewal by Oct 26, 2026.No. RHP-CAQH-DEMO-4154Ends Nov 25, 2026
- Dr. Samuel OrtizCAQH attestationCurrentCurrent. Start the renewal by Nov 3, 2026.No. RHP-CAQH-DEMO-4074Ends Dec 3, 2026
- Dr. Ethan ColeCAQH attestationCurrentCurrent. Start the renewal by Nov 10, 2026.No. RHP-CAQH-DEMO-4140Ends Dec 10, 2026
- Dr. Hannah WeissCAQH attestationCurrentCurrent. Start the renewal by Nov 16, 2026.No. RHP-CAQH-DEMO-4086Ends Dec 16, 2026
- Dr. Nora WhitfieldCAQH attestationCurrentCurrent. Start the renewal by Nov 26, 2026.No. RHP-CAQH-DEMO-4163Ends Dec 26, 2026
- Dr. Owen HaleCAQH attestationCurrentCurrent. Start the renewal by Dec 1, 2026.No. RHP-CAQH-DEMO-4007Ends Dec 31, 2026
- Dr. Lena OkaforCAQH attestationCurrentCurrent. Start the renewal by Dec 14, 2026.No. RHP-CAQH-DEMO-4017Ends Jan 13, 2027
- Dr. Aisha GrantCAQH attestationCurrentCurrent. Start the renewal by Dec 15, 2026.No. RHP-CAQH-DEMO-4064Ends Jan 14, 2027
- Dr. Samuel OrtizPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Oct 30, 2026.No. LARK-ENR-DEMO-4076Ends Mar 1, 2027
- Dr. Rosa DelgadoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 6, 2026.No. MCR-ENR-DEMO-4155Ends Mar 6, 2027
- Dr. Ethan ColePayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 16, 2026.No. MCD-ENR-DEMO-4142Ends Mar 16, 2027
- Dr. Ethan ColePayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 30, 2026.No. MCR-ENR-DEMO-4141Ends Mar 30, 2027
- Dr. Lena OkaforPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jan 1, 2027.No. MCD-ENR-DEMO-4019Ends May 1, 2027
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 8, 2027
- Nadia BrooksPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jan 29, 2027.No. LARK-ENR-DEMO-4045Ends May 31, 2027
- Dr. Owen HalePayer enrollment: MedicareCurrentCurrent. Start the renewal by Feb 8, 2027.No. MCR-ENR-DEMO-4008Ends Jun 8, 2027
- Dr. Nora WhitfieldDEA registration (TN)CurrentCurrent. Start the renewal by May 18, 2027.No. TN-DEA-DEMO-4162Ends Jul 17, 2027
- Dr. Owen HalePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Apr 30, 2027.No. LARK-ENR-DEMO-4009Ends Aug 30, 2027
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jun 30, 2027.No. LARK-ENR-DEMO-4143Ends Oct 28, 2027
- Dr. Lena OkaforPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jul 9, 2027.No. BLUE-ENR-DEMO-4021Ends Nov 6, 2027
- Nadia BrooksPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jul 28, 2027.No. MCD-ENR-DEMO-4044Ends Nov 25, 2027
- Nadia BrooksPayer enrollment: MedicareCurrentCurrent. Start the renewal by Aug 11, 2027.No. MCR-ENR-DEMO-4043Ends Dec 9, 2027
- Dr. Aisha GrantDEA registration (TN)CurrentCurrent. Start the renewal by Nov 9, 2027.No. TN-DEA-DEMO-4061Ends Jan 8, 2028
- Dr. Aisha GrantDEA registration (VA)CurrentCurrent. Start the renewal by Dec 28, 2027.No. VA-DEA-DEMO-4062Ends Feb 26, 2028
- Dr. Lena OkaforPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Dec 8, 2027.No. LARK-ENR-DEMO-4020Ends Apr 6, 2028
- Dr. Lena OkaforDEA registration (TN)CurrentCurrent. Start the renewal by Feb 18, 2028.No. TN-DEA-DEMO-4016Ends Apr 19, 2028
- Dr. Samuel OrtizPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jan 27, 2028.No. HARB-ENR-DEMO-4077Ends May 26, 2028
- Dr. Aisha GrantPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Feb 21, 2028.No. MCD-ENR-DEMO-4065Ends Jun 20, 2028
- Dr. Aisha GrantPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Feb 25, 2028.No. BLUE-ENR-DEMO-4067Ends Jun 25, 2028
- Dr. Rosa DelgadoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 18, 2028.No. LARK-ENR-DEMO-4157Ends Sep 15, 2028
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 15, 2028.No. TN-DEA-DEMO-4085Ends Oct 14, 2028
- Dr. Owen HalePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jul 27, 2028.No. HARB-ENR-DEMO-4010Ends Nov 24, 2028
- Dr. Aisha GrantPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 27, 2028.No. LARK-ENR-DEMO-4066Ends Nov 24, 2028
- Dr. Hannah WeissPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 1, 2028.No. HARB-ENR-DEMO-4089Ends Jan 1, 2029
- Dr. Rosa DelgadoDEA registration (TN)CurrentCurrent. Start the renewal by Nov 14, 2028.No. TN-DEA-DEMO-4151Ends Jan 13, 2029
- Dr. Ethan ColePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 22, 2028.No. HARB-ENR-DEMO-4144Ends Jan 22, 2029
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 24, 2029
- Dr. Samuel OrtizPayer enrollment: MedicareCurrentCurrent. Start the renewal by Oct 24, 2028.No. MCR-ENR-DEMO-4075Ends Feb 21, 2029
- Dr. Rosa DelgadoDEA registration (VA)CurrentCurrent. Start the renewal by Jan 2, 2029.No. VA-DEA-DEMO-4152Ends Mar 3, 2029
- Dr. Samuel OrtizDEA registration (TN)CurrentCurrent. Start the renewal by Feb 22, 2029.No. TN-DEA-DEMO-4073Ends Apr 23, 2029
- Dr. Samuel OrtizPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 12, 2029.No. BLUE-ENR-DEMO-4078Ends May 14, 2029
- Dr. Ethan ColeDEA registration (TN)CurrentCurrent. Start the renewal by May 24, 2029.No. TN-DEA-DEMO-4139Ends Jul 23, 2029