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
30 records for providers who work at West Region. 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
- Dr. Aisha GrantState medical license (VA)LapsedLapsed 3 days ago. No renewal has been recorded.No. VA-LIC-DEMO-4056Ends Oct 4, 2026
- Caleb FosterState medical license (TN)CurrentCurrent. Start the renewal by Oct 30, 2026.No. TN-LIC-DEMO-4092Ends Jan 29, 2027
- Dr. Rosa DelgadoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 6, 2026.No. MCR-ENR-DEMO-4155Ends Mar 6, 2027
- Caleb FosterPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 9, 2026.No. HARB-ENR-DEMO-4100Ends Apr 8, 2027
- Theo RamirezState medical license (TN)CurrentCurrent. Start the renewal by Feb 4, 2027.No. TN-LIC-DEMO-4046Ends May 5, 2027
- Dr. Julian MooreState medical license (TN)CurrentCurrent. Start the renewal by Mar 29, 2027.No. TN-LIC-DEMO-4111Ends Jun 27, 2027
- Dr. Julian MoorePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Mar 31, 2027.No. HARB-ENR-DEMO-4119Ends Jul 29, 2027
- Dr. Priyanka RaoPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Apr 30, 2027.No. BLUE-ENR-DEMO-4110Ends Aug 28, 2027
- Dr. Aisha GrantState medical license (TN)CurrentCurrent. Start the renewal by Sep 2, 2027.No. TN-LIC-DEMO-4055Ends Dec 1, 2027
- Theo RamirezPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 8, 2027.No. LARK-ENR-DEMO-4053Ends Jan 6, 2028
- Dr. Priyanka RaoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 29, 2027.No. LARK-ENR-DEMO-4109Ends Jan 27, 2028
- Dr. Rosa DelgadoState medical license (TN)CurrentCurrent. Start the renewal by Feb 9, 2028.No. TN-LIC-DEMO-4145Ends May 9, 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 DelgadoState medical license (VA)CurrentCurrent. Start the renewal by Mar 29, 2028.No. VA-LIC-DEMO-4146Ends Jun 27, 2028
- Grace LiuState medical license (VA)CurrentCurrent. Start the renewal by Apr 14, 2028.No. VA-LIC-DEMO-4123Ends Jul 15, 2028
- Dr. Julian MoorePayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Mar 17, 2028.No. BLUE-ENR-DEMO-4120Ends Jul 16, 2028
- Caleb FosterPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Apr 27, 2028.No. LARK-ENR-DEMO-4099Ends Aug 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. Priyanka RaoState medical license (TN)CurrentCurrent. Start the renewal by Jul 20, 2028.No. TN-LIC-DEMO-4102Ends Oct 18, 2028
- Dr. Aisha GrantPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 27, 2028.No. LARK-ENR-DEMO-4066Ends Nov 24, 2028
- Dr. Julian MoorePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Aug 17, 2028.No. LARK-ENR-DEMO-4118Ends Dec 15, 2028
- Grace LiuPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Oct 24, 2028.No. BLUE-ENR-DEMO-4133Ends Feb 21, 2029
- Theo RamirezPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 1, 2028.No. HARB-ENR-DEMO-4054Ends Apr 2, 2029
- Caleb FosterPayer enrollment: MedicareCurrentCurrent. Start the renewal by May 18, 2029.No. MCR-ENR-DEMO-4098Ends Sep 17, 2029
- Dr. Priyanka RaoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Apr 30, 2030.No. MCR-ENR-DEMO-4108Ends Aug 28, 2030
- Grace LiuPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 8, 2030.No. MCD-ENR-DEMO-4132Ends Mar 10, 2031
- Grace LiuPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 22, 2030.No. MCR-ENR-DEMO-4131Ends Mar 24, 2031
- Dr. Julian MoorePayer enrollment: MedicareCurrentCurrent. Start the renewal by Dec 18, 2030.No. MCR-ENR-DEMO-4117Ends Apr 17, 2031