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 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
20 records for providers who work at West Region, Jefferson Park, Main Campus and Stonebridge. 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. Priyanka RaoOIG exclusion checkLapsedLapsed 9 days ago. No renewal has been recorded.No. RHP-OIG-DEMO-4106Ends Sep 28, 2026
- Dr. Aisha GrantState medical license (VA)LapsedLapsed 3 days ago. No renewal has been recorded.No. VA-LIC-DEMO-4056Ends Oct 4, 2026
- Dr. Julian MooreBoard certificationMissingNothing on file. Required by payer contracts and facility bylaws.
- Dr. Nora WhitfieldOIG exclusion checkMissingNothing on file. Monthly screening against the federal exclusion list, for every provider.
- Dr. Nora WhitfieldPayer enrollment: Bluestem MutualMissingNothing on file. Visits are billed to Bluestem Mutual.
- Dr. Nora WhitfieldPrivileges: Ashgrove Regional HospitalMissingNothing on file. Works at Ashgrove Regional Hospital.
- Dr. Owen HaleDEA registration (TN)ExpiringExpires in 12 days. Renewal not started.No. TN-DEA-DEMO-4006Ends Oct 19, 2026
- Grace LiuState controlled substance registration (VA)ExpiringExpires in 25 days. Renewal not started.No. VA-CSR-DEMO-4129Ends Nov 1, 2026
- Caleb FosterBoard certificationExpiringExpires in 45 days. Renewal not started.No. RHP-BRD-DEMO-4095Ends Nov 21, 2026
- Theo RamirezMalpractice insuranceExpiringPolicy ends in 20 days. Renewal sent Sep 22, 2026.No. RHP-MAL-DEMO-4047Ends Oct 27, 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
- Grace LiuDEA registration (VA)Action dueRenewal work should have started 5 days ago. Expires Dec 1, 2026.No. VA-DEA-DEMO-4128Ends Dec 1, 2026
- 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. Priyanka RaoCPR / BLS certificationAction dueRenewal under way. Renewal sent Oct 4, 2026. Expires Nov 1, 2026.No. RHP-BLS-DEMO-4104Ends Nov 1, 2026
- Nadia BrooksState medical license (TN)Action dueRenewal under way. Renewal sent Sep 27, 2026. Expires Dec 21, 2026.No. TN-LIC-DEMO-4036Ends Dec 21, 2026
- Dr. Julian MoorePrivileges: Cumberland Surgery CenterAction dueRenewal under way. Renewal sent Oct 2, 2026. Reappointment due Jan 15, 2027.No. CUMB-PRV-DEMO-4121Ends Jan 15, 2027