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
9 records for providers who work at Eastgate Family Care and Jefferson Park. Clear all filters
- Nadia BrooksCAQH attestationLapsedLapsed 10 days ago. No renewal has been recorded.No. RHP-CAQH-DEMO-4042Ends Sep 27, 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. Ethan ColeCPR / BLS certificationCurrentCurrent. Start the renewal by Sep 17, 2027.No. RHP-BLS-DEMO-4136Ends Oct 19, 2027
- Nadia BrooksCPR / BLS certificationCurrentCurrent. Start the renewal by Oct 8, 2027.No. RHP-BLS-DEMO-4038Ends Nov 7, 2027
- Dr. Hannah WeissCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 19, 2027.No. RHP-BLS-DEMO-4082Ends Dec 20, 2027
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 15, 2028.No. TN-DEA-DEMO-4085Ends Oct 14, 2028
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 24, 2029
- Dr. Ethan ColeDEA registration (TN)CurrentCurrent. Start the renewal by May 24, 2029.No. TN-DEA-DEMO-4139Ends Jul 23, 2029