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
31 records for providers who work at Eastgate Family Care and Jefferson Park. Clear all filters
- Nadia BrooksState medical license (TN)Action dueRenewal under way. Renewal sent Sep 28, 2026. Expires Dec 22, 2026.No. TN-LIC-DEMO-4036Ends Dec 22, 2026
- Nadia BrooksOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4040Ends Oct 27, 2026
- Dr. Hannah WeissOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4084Ends Oct 27, 2026
- Dr. Ethan ColeOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4138Ends Oct 27, 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. Hannah WeissMalpractice insuranceCurrentCurrent. Start the renewal by Dec 29, 2026.No. RHP-MAL-DEMO-4081Ends Feb 12, 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
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 9, 2027
- Dr. Hannah WeissState medical license (TN)CurrentCurrent. Start the renewal by Feb 11, 2027.No. TN-LIC-DEMO-4080Ends May 12, 2027
- Nadia BrooksPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Feb 1, 2027.No. LARK-ENR-DEMO-4045Ends Jun 1, 2027
- Dr. Ethan ColeMalpractice insuranceCurrentCurrent. Start the renewal by Jun 4, 2027.No. RHP-MAL-DEMO-4135Ends Jul 20, 2027
- Nadia BrooksMalpractice insuranceCurrentCurrent. Start the renewal by Jul 28, 2027.No. RHP-MAL-DEMO-4037Ends Sep 11, 2027
- Dr. Ethan ColeCPR / BLS certificationCurrentCurrent. Start the renewal by Sep 20, 2027.No. RHP-BLS-DEMO-4136Ends Oct 20, 2027
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 1, 2027.No. LARK-ENR-DEMO-4143Ends Oct 29, 2027
- Nadia BrooksCPR / BLS certificationCurrentCurrent. Start the renewal by Oct 8, 2027.No. RHP-BLS-DEMO-4038Ends Nov 8, 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
- Dr. Hannah WeissCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 19, 2027.No. RHP-BLS-DEMO-4082Ends Dec 21, 2027
- Dr. Hannah WeissPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Nov 19, 2027.No. ASH-PRV-DEMO-4091Ends Mar 20, 2028
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 16, 2028.No. TN-DEA-DEMO-4085Ends Oct 15, 2028
- Dr. Ethan ColeState medical license (TN)CurrentCurrent. Start the renewal by Jul 31, 2028.No. TN-LIC-DEMO-4134Ends Oct 29, 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. 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
- 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. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 21, 2031.No. MCD-ENR-DEMO-4087Ends Aug 19, 2031